Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $148.22 / $148.22	Facility		$84.29	$148.22	$148.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $134.71 / $344.96	Professional		$77.84	$134.71	$344.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.08 / $253.21 / $433.37	Professional		$184.08	$253.21	$433.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $196.96 / $368.71	Facility		$115.10	$196.96	$368.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $328.43 / $1,110.16	Professional		$156.22	$328.43	$1,110.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $247.74 / $387.22	Facility		$202.00	$247.74	$387.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $261.75 / $396.15	Professional		$178.39	$261.75	$396.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $213.09 / $288.52	Professional		$146.27	$213.09	$288.52
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 $156.22 / $298.24 / $410.31	Professional		$156.22	$298.24	$410.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $193.00 / $323.50	Professional		$157.69	$193.00	$323.50