Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $142.63 / $142.63	Facility		$48.28	$142.63	$142.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $121.19 / $142.63	Professional		$41.81	$121.19	$142.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.97 / $238.45 / $410.00	Professional		$112.97	$238.45	$410.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.06 / $137.85 / $332.06	Facility		$60.06	$137.85	$332.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $366.56 / $1,057.75	Professional		$181.45	$366.56	$1,057.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $287.31 / $481.15	Facility		$126.46	$287.31	$481.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $262.05 / $431.74	Professional		$112.82	$262.05	$431.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $146.05 / $274.93	Professional		$74.76	$146.05	$274.93
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $295.70 / $476.36	Professional		$181.45	$295.70	$476.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $112.40 / $308.30	Professional		$91.90	$112.40	$308.30