Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $265.32 / $361.60	Facility		$81.76	$265.32	$361.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $108.08 / $221.34	Professional		$80.00	$108.08	$221.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $229.83 / $303.85	Professional		$163.41	$229.83	$303.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $166.19 / $271.38	Facility		$117.05	$166.19	$271.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $243.68 / $1,011.75	Professional		$116.68	$243.68	$1,011.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.96 / $202.52 / $271.60	Facility		$130.96	$202.52	$271.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $209.09 / $274.43	Professional		$163.41	$209.09	$274.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $154.61 / $230.92	Professional		$106.07	$154.61	$230.92
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 $114.59 / $184.05 / $290.10	Professional		$114.59	$184.05	$290.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $187.70 / $245.80	Professional		$153.40	$187.70	$245.80