Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.09 / $91.75 / $91.75	Facility		$52.09	$91.75	$91.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $93.02 / $152.16	Professional		$59.59	$93.02	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $151.91 / $269.76	Professional		$118.30	$151.91	$269.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $135.50 / $244.67	Facility		$75.56	$135.50	$244.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $233.05 / $700.24	Professional		$99.87	$233.05	$700.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $174.00 / $246.25	Facility		$136.41	$174.00	$246.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $174.00 / $253.17	Professional		$120.08	$174.00	$253.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $136.46 / $183.07	Professional		$90.73	$136.46	$183.07
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 $85.01 / $169.42 / $263.54	Professional		$85.01	$169.42	$263.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $119.70 / $205.30	Professional		$97.80	$119.70	$205.30