Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $121.31 / $121.31	Facility		$78.98	$121.31	$121.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $91.64 / $143.66	Professional		$67.93	$91.64	$143.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $224.97 / $341.83	Professional		$152.68	$224.97	$341.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.62 / $165.79 / $255.01	Facility		$112.62	$165.79	$255.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $229.53 / $873.20	Professional		$106.88	$229.53	$873.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $193.43 / $271.23	Facility		$147.69	$193.43	$271.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $192.83 / $262.12	Professional		$147.69	$192.83	$262.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $161.30 / $230.30	Professional		$116.57	$161.30	$230.30
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 $106.88 / $194.32 / $297.98	Professional		$106.88	$194.32	$297.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $187.70 / $279.50	Professional		$153.40	$187.70	$279.50