Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $275.01 / $275.01	Facility		$103.07	$275.01	$275.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $233.60 / $275.01	Professional		$89.09	$233.60	$275.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $299.95 / $771.31	Professional		$218.06	$299.95	$771.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.56 / $328.99 / $464.77	Facility		$150.56	$328.99	$464.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $535.97 / $2,027.04	Professional		$229.39	$535.97	$2,027.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $520.49 / $1,123.16	Facility		$228.28	$520.49	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.50 / $339.62 / $598.40	Professional		$198.50	$339.62	$598.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $321.81 / $511.70	Professional		$153.85	$321.81	$511.70
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 $218.10 / $447.96 / $702.94	Professional		$218.10	$447.96	$702.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $250.50 / $621.10	Professional		$204.70	$250.50	$621.10