Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $127.92 / $127.92	Facility		$64.33	$127.92	$127.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $109.56 / $127.92	Professional		$56.25	$109.56	$127.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $187.96 / $362.28	Professional		$150.35	$187.96	$362.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $173.46 / $352.07	Facility		$89.03	$173.46	$352.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $336.73 / $1,510.76	Professional		$134.09	$336.73	$1,510.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $239.00 / $352.30	Facility		$167.16	$239.00	$352.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $218.00 / $352.30	Professional		$149.91	$218.00	$352.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $183.76 / $246.47	Professional		$113.28	$183.76	$246.47
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 $148.16 / $242.95 / $377.92	Professional		$148.16	$242.95	$377.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $149.40 / $276.39	Professional		$122.10	$149.40	$276.39