Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $355.92 / $631.84	Facility		$162.90	$355.92	$631.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $108.19 / $300.60	Professional		$50.11	$108.19	$300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $149.00 / $318.45	Professional		$116.25	$149.00	$318.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $160.90 / $349.89	Facility		$74.73	$160.90	$349.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $247.49 / $918.11	Professional		$118.80	$247.49	$918.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.56 / $247.49 / $294.02	Facility		$134.56	$247.49	$294.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $214.85 / $303.85	Professional		$121.55	$214.85	$303.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $162.54 / $218.01	Professional		$91.83	$162.54	$218.01
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 $114.16 / $196.00 / $304.89	Professional		$114.16	$196.00	$304.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $121.10 / $244.50	Professional		$99.00	$121.10	$244.50