Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.24 / $437.75 / $571.16	Facility		$36.24	$437.75	$571.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $96.69 / $258.10	Professional		$31.54	$96.69	$258.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $106.15 / $290.20	Professional		$81.72	$106.15	$290.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $97.02 / $238.93	Facility		$45.31	$97.02	$238.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $204.68 / $355.82	Professional		$91.42	$204.68	$355.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.22 / $174.63 / $266.27	Facility		$93.22	$174.63	$266.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $175.47 / $266.27	Professional		$81.52	$175.47	$266.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $103.36 / $191.48	Professional		$54.02	$103.36	$191.48
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 $89.09 / $181.21 / $281.88	Professional		$89.09	$181.21	$281.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $81.20 / $214.70	Professional		$66.40	$81.20	$214.70