Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.20 / $171.67 / $360.74	Facility		$86.20	$171.67	$360.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $149.18 / $283.56	Professional		$86.20	$149.18	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.42 / $249.31 / $497.65	Professional		$199.42	$249.31	$497.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.13 / $245.94 / $448.66	Facility		$125.13	$245.94	$448.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $394.83 / $1,344.11	Professional		$173.72	$394.83	$1,344.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $228.82 / $384.00 / $516.67	Facility		$228.82	$384.00	$516.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.25 / $328.33 / $472.67	Professional		$205.25	$328.33	$472.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $254.42 / $343.50	Professional		$155.07	$254.42	$343.50
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 $151.74 / $301.41 / $468.86	Professional		$151.74	$301.41	$468.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $204.60 / $385.20	Professional		$167.20	$204.60	$385.20