Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $173.24 / $173.24	Facility		$109.42	$173.24	$173.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $148.75 / $397.80	Professional		$107.48	$148.75	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $316.51 / $503.49	Professional		$230.10	$316.51	$503.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.22 / $250.24 / $405.71	Facility		$158.22	$250.24	$405.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $377.30 / $1,307.28	Professional		$174.33	$377.30	$1,307.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $228.77 / $280.45 / $427.97	Facility		$228.77	$280.45	$427.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $313.27 / $427.97	Professional		$242.55	$313.27	$427.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $248.70 / $347.39	Professional		$175.51	$248.70	$347.39
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 $174.33 / $332.81 / $470.51	Professional		$174.33	$332.81	$470.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $274.80 / $421.70	Professional		$224.60	$274.80	$421.70