Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $137.96 / $137.96	Facility		$57.28	$137.96	$137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $103.79 / $382.70	Professional		$56.66	$103.79	$382.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $168.48 / $395.39	Professional		$128.97	$168.48	$395.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $166.38 / $361.49	Facility		$79.31	$166.38	$361.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.99 / $353.43 / $1,020.56	Professional		$143.99	$353.43	$1,020.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $207.89 / $372.07	Facility		$147.38	$207.89	$372.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $182.49 / $372.07	Professional		$130.28	$182.49	$372.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.43 / $174.29 / $263.29	Professional		$98.43	$174.29	$263.29
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 $125.60 / $254.68 / $396.17	Professional		$125.60	$254.68	$396.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $129.80 / $295.20	Professional		$106.10	$129.80	$295.20