Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $152.52 / $152.52	Facility		$67.73	$152.52	$152.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $122.21 / $248.96	Professional		$66.81	$122.21	$248.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $200.62 / $438.24	Professional		$154.88	$200.62	$438.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $188.24 / $399.46	Facility		$93.81	$188.24	$399.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $389.50 / $1,129.28	Professional		$138.51	$389.50	$1,129.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $175.34 / $235.84 / $409.81	Facility		$175.34	$235.84	$409.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $214.83 / $410.74	Professional		$155.75	$214.83	$410.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $203.54 / $292.39	Professional		$117.68	$203.54	$292.39
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 $171.38 / $301.02 / $435.96	Professional		$171.38	$301.02	$435.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $155.19 / $327.90	Professional		$126.90	$155.19	$327.90