Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $147.04 / $147.04	Facility		$67.04	$147.04	$147.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $115.37 / $159.34	Professional		$67.56	$115.37	$159.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $192.83 / $416.82	Professional		$152.30	$192.83	$416.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $181.73 / $390.81	Facility		$93.99	$181.73	$390.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $377.30 / $1,090.64	Professional		$138.56	$377.30	$1,090.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $229.81 / $400.82	Facility		$174.12	$229.81	$400.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $217.25 / $400.82	Professional		$149.91	$217.25	$400.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $198.05 / $278.17	Professional		$113.28	$198.05	$278.17
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 $156.61 / $278.95 / $433.92	Professional		$156.61	$278.95	$433.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $149.40 / $311.89	Professional		$122.10	$149.40	$311.89