Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $126.05 / $126.05	Facility		$59.83	$126.05	$126.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $105.70 / $169.31	Professional		$67.50	$105.70	$169.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $170.43 / $353.52	Professional		$133.86	$170.43	$353.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.83 / $164.52 / $347.00	Facility		$84.83	$164.52	$347.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $330.12 / $915.44	Professional		$122.95	$330.12	$915.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $202.86 / $325.33	Facility		$131.74	$202.86	$325.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $189.55 / $325.33	Professional		$131.74	$189.55	$325.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $175.56 / $235.47	Professional		$99.53	$175.56	$235.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $237.94 / $344.90	Professional		$122.95	$237.94	$344.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $131.30 / $264.00	Professional		$107.30	$131.30	$264.00