Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.15 / $196.00 / $196.00	Facility		$124.15	$196.00	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $178.99 / $314.89	Professional		$109.93	$178.99	$314.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.04 / $360.33 / $559.98	Professional		$252.04	$360.33	$559.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.28 / $280.08 / $454.10	Facility		$178.28	$280.08	$454.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.08 / $441.38 / $2,563.92	Professional		$190.08	$441.38	$2,563.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.77 / $441.38 / $1,123.16	Facility		$284.77	$441.38	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.04 / $327.39 / $472.59	Professional		$252.04	$327.39	$472.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.19 / $269.35 / $375.20	Professional		$184.19	$269.35	$375.20
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 $169.90 / $347.54 / $540.62	Professional		$169.90	$347.54	$540.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $298.39 / $455.40	Professional		$243.90	$298.39	$455.40