Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $175.06 / $175.06	Facility		$123.44	$175.06	$175.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $150.16 / $253.11	Professional		$118.17	$150.16	$253.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $354.49 / $503.49	Professional		$257.70	$354.49	$503.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.90 / $253.79 / $411.47	Facility		$178.90	$253.79	$411.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $392.63 / $1,337.84	Professional		$186.69	$392.63	$1,337.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.59 / $318.83 / $466.88	Facility		$202.59	$318.83	$466.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $357.00 / $466.88	Professional		$260.45	$357.00	$466.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $191.43 / $259.64 / $354.50	Professional		$191.43	$259.64	$354.50
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 $156.15 / $307.66 / $478.58	Professional		$156.15	$307.66	$478.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $313.30 / $430.30	Professional		$256.10	$313.30	$430.30