Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.95 / $140.01 / $140.01	Facility		$83.95	$140.01	$140.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $131.62 / $182.32	Professional		$83.79	$131.62	$182.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.37 / $252.23 / $410.98	Professional		$183.37	$252.23	$410.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.66 / $196.96 / $361.56	Facility		$114.66	$196.96	$361.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $349.13 / $1,053.68	Professional		$124.59	$349.13	$1,053.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $247.74 / $369.41	Facility		$200.00	$247.74	$369.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $260.72 / $376.13	Professional		$176.92	$260.72	$376.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $204.50 / $274.29	Professional		$139.16	$204.50	$274.29
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 $153.62 / $251.42 / $391.10	Professional		$153.62	$251.42	$391.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $192.20 / $307.60	Professional		$157.10	$192.20	$307.60