Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $3,073.00	Facility		$156.66	$156.66	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $156.66 / $181.29	Professional		$137.80	$156.66	$181.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.05 / $365.40 / $456.75	Professional		$332.05	$365.40	$456.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.05 / $267.70 / $732.69	Facility		$197.05	$267.70	$732.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.40 / $365.52 / $2,475.00	Professional		$157.40	$365.52	$2,475.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.85 / $383.72 / $533.00	Facility		$186.85	$383.72	$533.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $393.18 / $522.00	Professional		$321.64	$393.18	$522.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.39 / $295.62 / $493.60	Professional		$215.39	$295.62	$493.60
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 $204.01 / $302.80 / $466.70	Professional		$204.01	$302.80	$466.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.89 / $363.40 / $377.90	Professional		$308.89	$363.40	$377.90