Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $137.35 / $140.10	Facility		$60.09	$137.35	$140.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $107.53 / $338.20	Professional		$57.00	$107.53	$338.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $176.27 / $394.42	Professional		$132.47	$176.27	$394.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $162.63 / $323.92	Facility		$83.18	$162.63	$323.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $308.61 / $1,018.00	Professional		$122.96	$308.61	$1,018.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $189.79 / $365.66	Facility		$150.75	$189.79	$365.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $189.79 / $369.90	Professional		$136.82	$189.79	$369.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $166.98 / $263.29	Professional		$103.38	$166.98	$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 $120.77 / $219.58 / $387.07	Professional		$120.77	$219.58	$387.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $136.40 / $295.20	Professional		$111.50	$136.40	$295.20