Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $251.24 / $1,135.23	Facility		$116.27	$251.24	$1,135.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $207.71 / $372.01	Professional		$116.27	$207.71	$372.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.27 / $420.84 / $723.59	Professional		$246.27	$420.84	$723.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.88 / $312.22 / $428.14	Facility		$167.88	$312.22	$428.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $350.46 / $1,848.32	Professional		$158.88	$350.46	$1,848.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $312.22 / $576.41	Facility		$218.94	$312.22	$576.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $279.87 / $484.01	Professional		$155.38	$279.87	$484.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.61 / $234.18 / $481.94	Professional		$162.61	$234.18	$481.94
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 $198.66 / $350.46 / $700.92	Professional		$198.66	$350.46	$700.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $284.20 / $585.00	Professional		$232.30	$284.20	$585.00