Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $224.40 / $1,836.70	Facility		$109.87	$224.40	$1,836.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $159.59 / $395.95	Professional		$101.45	$159.59	$395.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $318.45 / $481.09	Professional		$231.52	$318.45	$481.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.29 / $245.37 / $433.94	Facility		$158.29	$245.37	$433.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.56 / $400.09 / $1,256.56	Professional		$186.56	$400.09	$1,256.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $264.04 / $400.09 / $873.61	Facility		$264.04	$400.09	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $299.63 / $425.15	Professional		$235.30	$299.63	$425.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $219.30 / $324.74	Professional		$163.50	$219.30	$324.74
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 $167.52 / $310.52 / $483.03	Professional		$167.52	$310.52	$483.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $266.20 / $394.20	Professional		$217.60	$266.20	$394.20