Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $381.00 / $637.14	Facility		$111.07	$381.00	$637.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $134.40 / $305.10	Professional		$53.49	$134.40	$305.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $157.77 / $324.30	Professional		$124.20	$157.77	$324.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $159.83 / $352.24	Facility		$78.80	$159.83	$352.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $268.20 / $923.60	Professional		$118.01	$268.20	$923.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.82 / $249.64 / $290.39	Facility		$142.82	$249.64	$290.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $214.81 / $304.17	Professional		$128.09	$214.81	$304.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $165.26 / $221.89	Professional		$96.78	$165.26	$221.89
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 $128.74 / $214.56 / $305.27	Professional		$128.74	$214.56	$305.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $127.70 / $248.80	Professional		$104.30	$127.70	$248.80