Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $121.58 / $312.12	Facility		$75.09	$121.58	$312.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $91.02 / $242.97	Professional		$65.48	$91.02	$242.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $216.59 / $270.74	Professional		$157.46	$216.59	$270.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $128.52 / $227.36	Facility		$85.01	$128.52	$227.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $201.35 / $691.60	Professional		$79.48	$201.35	$691.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $195.67 / $233.45	Facility		$133.36	$195.67	$233.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $179.71 / $239.52	Professional		$129.00	$179.71	$239.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $143.40 / $180.49	Professional		$92.85	$143.40	$180.49
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 $79.48 / $160.00 / $248.89	Professional		$79.48	$160.00	$248.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $169.00 / $202.40	Professional		$138.10	$169.00	$202.40