Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $175.36 / $1,352.16	Facility		$82.94	$175.36	$1,352.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $152.79 / $240.00	Professional		$76.28	$152.79	$240.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $241.52 / $522.00	Professional		$175.58	$241.52	$522.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $219.93 / $438.75	Facility		$120.68	$219.93	$438.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.21 / $439.09 / $1,410.78	Professional		$187.21	$439.09	$1,410.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.50 / $414.75 / $873.61	Facility		$204.50	$414.75	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $300.57 / $451.57	Professional		$183.34	$300.57	$451.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $246.71 / $363.56	Professional		$135.53	$246.71	$363.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $325.95 / $507.05	Professional		$188.60	$325.95	$507.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $220.60 / $441.30	Professional		$180.30	$220.60	$441.30