Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $229.42 / $229.42	Facility		$44.83	$229.42	$229.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $184.86 / $229.42	Professional		$37.22	$184.86	$229.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $355.13 / $610.62	Professional		$95.76	$355.13	$610.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $228.65 / $387.72	Facility		$59.76	$228.65	$387.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $369.98 / $1,885.79	Professional		$147.99	$369.98	$1,885.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.62 / $295.86 / $693.48	Facility		$99.62	$295.86	$693.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $286.29 / $498.05	Professional		$89.85	$286.29	$498.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $240.59 / $400.43	Professional		$72.59	$240.59	$400.43
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 $177.59 / $310.77 / $562.16	Professional		$177.59	$310.77	$562.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $103.60 / $486.00	Professional		$84.70	$103.60	$486.00