Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.69 / $190.18 / $190.18	Facility		$103.69	$190.18	$190.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $171.50 / $190.18	Professional		$94.46	$171.50	$190.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.22 / $319.43 / $575.55	Professional		$232.22	$319.43	$575.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.01 / $262.25 / $469.91	Facility		$142.01	$262.25	$469.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.47 / $419.25 / $1,481.52	Professional		$184.47	$419.25	$1,481.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.65 / $328.00 / $499.75	Facility		$236.65	$328.00	$499.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.40 / $331.14 / $512.10	Professional		$251.40	$331.14	$512.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $255.95 / $388.79	Professional		$167.09	$255.95	$388.79
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 $166.24 / $334.75 / $520.72	Professional		$166.24	$334.75	$520.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $203.90 / $249.50 / $436.00	Professional		$203.90	$249.50	$436.00