Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $180.82 / $180.82	Facility		$91.26	$180.82	$180.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $142.49 / $195.26	Professional		$88.12	$142.49	$195.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $268.79 / $521.02	Professional		$208.15	$268.79	$521.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $244.70 / $476.29	Facility		$116.00	$244.70	$476.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $461.95 / $1,348.48	Professional		$166.26	$461.95	$1,348.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.58 / $280.70 / $489.16	Facility		$204.58	$280.70	$489.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $293.02 / $490.00	Professional		$208.15	$293.02	$490.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $238.27 / $348.68	Professional		$157.27	$238.27	$348.68
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 $189.85 / $334.96 / $521.04	Professional		$189.85	$334.96	$521.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $207.50 / $391.00	Professional		$169.60	$207.50	$391.00