Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $156.22 / $156.22	Facility		$71.45	$156.22	$156.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $115.54 / $254.96	Professional		$66.00	$115.54	$254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $261.11 / $448.96	Professional		$152.22	$261.11	$448.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $191.73 / $411.21	Facility		$98.84	$191.73	$411.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $399.73 / $1,157.35	Professional		$142.22	$399.73	$1,157.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.01 / $237.46 / $383.59	Facility		$161.01	$237.46	$383.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $224.20 / $422.75	Professional		$140.06	$224.20	$422.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $193.93 / $299.51	Professional		$122.63	$193.93	$299.51
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 $142.22 / $287.80 / $447.44	Professional		$142.22	$287.80	$447.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $161.80 / $335.90	Professional		$132.19	$161.80	$335.90