Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.59 / $165.30 / $165.30	Facility		$96.59	$165.30	$165.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $138.01 / $235.62	Professional		$81.83	$138.01	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $273.66 / $453.83	Professional		$202.32	$273.66	$453.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $203.57 / $279.36	Facility		$138.29	$203.57	$279.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $378.96 / $1,216.32	Professional		$182.26	$378.96	$1,216.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.05 / $346.43 / $873.61	Facility		$233.05	$346.43	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $263.19 / $416.74	Professional		$208.44	$263.19	$416.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $205.60 / $307.92	Professional		$142.76	$205.60	$307.92
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 $182.26 / $295.97 / $460.40	Professional		$182.26	$295.97	$460.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $232.40 / $373.80	Professional		$190.00	$232.40	$373.80