Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $122.56 / $122.56	Facility		$49.06	$122.56	$122.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $114.56 / $329.30	Professional		$41.01	$114.56	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $144.13 / $348.65	Professional		$109.66	$144.13	$348.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.93 / $139.22 / $307.43	Facility		$67.93	$139.22	$307.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $271.89 / $903.20	Professional		$122.85	$271.89	$903.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $176.45 / $299.30	Facility		$122.85	$176.45	$299.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $155.37 / $329.07	Professional		$97.05	$155.37	$329.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $147.29 / $232.24	Professional		$84.68	$147.29	$232.24
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 $108.66 / $236.57 / $342.89	Professional		$108.66	$236.57	$342.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $111.70 / $260.39	Professional		$91.30	$111.70	$260.39