Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $233.55 / $233.55	Facility		$79.73	$233.55	$233.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $195.58 / $233.55	Professional		$74.51	$195.58	$233.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $382.32 / $657.37	Professional		$168.50	$382.32	$657.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.70 / $279.68 / $394.70	Facility		$114.70	$279.68	$394.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $455.20 / $1,886.00	Professional		$188.13	$455.20	$1,886.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.55 / $488.51 / $873.61	Facility		$179.55	$488.51	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $385.23 / $575.28	Professional		$165.30	$385.23	$575.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $268.76 / $434.72	Professional		$118.65	$268.76	$434.72
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 $183.75 / $382.97 / $595.73	Professional		$183.75	$382.97	$595.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $193.20 / $527.70	Professional		$157.90	$193.20	$527.70