Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $196.60 / $850.96	Facility		$39.75	$196.60	$850.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $131.43 / $196.60	Professional		$33.22	$131.43	$196.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $112.80 / $505.44	Professional		$82.08	$112.80	$505.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.21 / $164.59 / $332.25	Facility		$53.21	$164.59	$332.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $309.06 / $652.76	Professional		$122.19	$309.06	$652.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $289.75 / $553.75	Facility		$87.63	$289.75	$553.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $282.42 / $397.69	Professional		$83.50	$282.42	$397.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $190.11 / $333.15	Professional		$57.88	$190.11	$333.15
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 $105.88 / $274.13 / $446.96	Professional		$105.88	$274.13	$446.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $94.20 / $404.40	Professional		$77.00	$94.20	$404.40