Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $169.28 / $169.28	Facility		$159.21	$169.28	$169.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $135.43 / $256.17	Professional		$130.38	$135.43	$256.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $365.40 / $456.75	Professional		$265.64	$365.40	$456.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.54 / $213.09 / $410.50	Facility		$130.54	$213.09	$410.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $311.89 / $1,114.40	Professional		$141.71	$311.89	$1,114.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $348.83 / $448.43	Facility		$151.71	$348.83	$448.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $365.58 / $448.43	Professional		$263.00	$365.58	$448.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $254.47 / $305.98	Professional		$158.93	$254.47	$305.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.55 / $284.38 / $442.37	Professional		$171.55	$284.38	$442.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $345.60 / $364.90	Professional		$298.20	$345.60	$364.90