Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $503.81 / $982.40	Facility		$52.89	$503.81	$982.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $115.51 / $326.81	Professional		$52.89	$115.51	$326.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $152.90 / $330.14	Professional		$122.30	$152.90	$330.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $165.15 / $310.14	Facility		$76.73	$165.15	$310.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $280.58 / $1,006.26	Professional		$123.45	$280.58	$1,006.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.19 / $258.27 / $307.20	Facility		$140.19	$258.27	$307.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $235.73 / $316.02	Professional		$125.91	$235.73	$316.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $169.29 / $227.06	Professional		$95.13	$169.29	$227.06
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 $107.95 / $175.76 / $317.13	Professional		$107.95	$175.76	$317.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $125.50 / $254.60	Professional		$102.60	$125.50	$254.60