Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $139.11 / $139.11	Facility		$77.73	$139.11	$139.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $120.22 / $213.49	Professional		$77.73	$120.22	$213.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $220.90 / $379.81	Professional		$159.30	$220.90	$379.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.36 / $178.92 / $253.82	Facility		$110.36	$178.92	$253.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $352.51 / $1,240.00	Professional		$170.59	$352.51	$1,240.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.74 / $308.20 / $1,123.16	Facility		$196.74	$308.20	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $236.37 / $354.22	Professional		$175.40	$236.37	$354.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $179.68 / $255.53	Professional		$112.86	$179.68	$255.53
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 $175.70 / $270.30 / $421.90	Professional		$175.70	$270.30	$421.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $183.70 / $310.20	Professional		$150.19	$183.70	$310.20