Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $239.30 / $239.30	Facility		$67.00	$239.30	$239.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $202.71 / $239.30	Professional		$58.59	$202.71	$239.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $397.61 / $683.66	Professional		$156.60	$397.61	$683.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $228.09 / $555.42	Facility		$84.16	$228.09	$555.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $640.83 / $1,740.80	Professional		$317.52	$640.83	$1,740.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.21 / $501.80 / $797.02	Facility		$177.21	$501.80	$797.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $436.64 / $715.39	Professional		$156.47	$436.64	$715.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $242.63 / $455.42	Professional		$103.69	$242.63	$455.42
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 $138.33 / $492.83 / $800.86	Professional		$138.33	$492.83	$800.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $156.00 / $510.70	Professional		$127.50	$156.00	$510.70