Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.96 / $220.02 / $220.02	Facility		$123.96	$220.02	$220.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $187.93 / $220.02	Professional		$108.20	$187.93	$220.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.79 / $364.23 / $630.10	Professional		$264.79	$364.23	$630.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $296.47 / $522.38	Facility		$169.76	$296.47	$522.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.89 / $486.50 / $2,772.20	Professional		$210.89	$486.50	$2,772.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.56 / $377.00 / $570.04	Facility		$251.56	$377.00	$570.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $389.54 / $587.15	Professional		$286.76	$389.54	$587.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.59 / $297.38 / $426.95	Professional		$199.59	$297.38	$426.95
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 $233.52 / $389.20 / $592.67	Professional		$233.52	$389.20	$592.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $285.80 / $478.80	Professional		$233.60	$285.80	$478.80