Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.39 / $135.72 / $135.72	Facility		$75.39	$135.72	$135.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $113.56 / $202.82	Professional		$64.03	$113.56	$202.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $215.23 / $380.79	Professional		$160.24	$215.23	$380.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.21 / $191.92 / $322.23	Facility		$108.21	$191.92	$322.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $322.23 / $1,004.72	Professional		$162.13	$322.23	$1,004.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $288.95 / $873.61	Facility		$192.26	$288.95	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $226.14 / $341.09	Professional		$160.24	$226.14	$341.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $171.25 / $256.82	Professional		$111.41	$171.25	$256.82
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 $132.13 / $238.27 / $370.64	Professional		$132.13	$238.27	$370.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $181.40 / $311.70	Professional		$148.19	$181.40	$311.70