Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $149.01 / $149.01	Facility		$92.26	$149.01	$149.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $129.69 / $190.31	Professional		$91.68	$129.69	$190.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.07 / $276.58 / $436.30	Professional		$201.07	$276.58	$436.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.87 / $214.31 / $387.38	Facility		$116.87	$214.31	$387.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $372.25 / $1,120.80	Professional		$133.44	$372.25	$1,120.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.90 / $237.56 / $394.02	Facility		$171.90	$237.56	$394.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.31 / $281.05 / $399.80	Professional		$194.31	$281.05	$399.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $218.00 / $292.39	Professional		$148.00	$218.00	$292.39
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 $133.44 / $268.79 / $418.12	Professional		$133.44	$268.79	$418.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $211.80 / $327.90	Professional		$173.10	$211.80	$327.90