Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.01 / $162.91 / $162.91	Facility		$105.01	$162.91	$162.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $154.69 / $233.02	Professional		$105.01	$154.69	$233.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $300.93 / $458.70	Professional		$222.48	$300.93	$458.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $240.61 / $419.19	Facility		$150.41	$240.61	$419.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.14 / $368.73 / $1,310.76	Professional		$191.14	$368.73	$1,310.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.19 / $266.85 / $430.84	Facility		$202.19	$266.85	$430.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $290.64 / $437.15	Professional		$225.92	$290.64	$437.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $233.43 / $314.47	Professional		$159.46	$233.43	$314.47
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 $142.03 / $289.69 / $450.63	Professional		$142.03	$289.69	$450.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $256.00 / $380.00	Professional		$209.20	$256.00	$380.00