Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.45 / $179.06 / $179.06	Facility		$114.45	$179.06	$179.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $165.18 / $238.42	Professional		$115.04	$165.18	$238.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.09 / $339.88 / $522.97	Professional		$247.09	$339.88	$522.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.62 / $257.10 / $457.54	Facility		$155.62	$257.10	$457.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $438.98 / $1,347.84	Professional		$193.15	$438.98	$1,347.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.84 / $293.47 / $472.10	Facility		$198.84	$293.47	$472.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $337.92 / $479.04	Professional		$234.00	$337.92	$479.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $260.92 / $349.97	Professional		$177.80	$260.92	$349.97
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 $210.71 / $438.98 / $501.09	Professional		$210.71	$438.98	$501.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $259.70 / $392.40	Professional		$212.20	$259.70	$392.40