Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.74 / $110.88 / $152.60	Facility		$104.74	$110.88	$152.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $133.80 / $252.36	Professional		$102.48	$133.80	$252.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $308.72 / $445.06	Professional		$232.92	$308.72	$445.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $219.35 / $384.01	Facility		$133.01	$219.35	$384.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $362.38 / $1,166.16	Professional		$138.86	$362.38	$1,166.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.85 / $272.93 / $411.59	Facility		$186.85	$272.93	$411.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.52 / $291.41 / $417.10	Professional		$229.52	$291.41	$417.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $219.98 / $304.04	Professional		$155.21	$219.98	$304.04
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 $138.86 / $304.39 / $425.74	Professional		$138.86	$304.39	$425.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $242.30 / $340.90	Professional		$198.00	$242.30	$340.90