Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $226.58 / $226.58	Facility		$50.17	$226.58	$226.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $168.77 / $340.92	Professional		$42.28	$168.77	$340.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $231.09 / $599.91	Professional		$104.63	$231.09	$599.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $262.72 / $418.65	Facility		$71.45	$262.72	$418.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $397.73 / $2,264.06	Professional		$175.77	$397.73	$2,264.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.63 / $249.69 / $515.76	Facility		$104.63	$249.69	$515.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $249.69 / $496.55	Professional		$104.63	$249.69	$496.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $248.72 / $396.55	Professional		$74.27	$248.72	$396.55
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 $175.77 / $316.07 / $546.26	Professional		$175.77	$316.07	$546.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $120.90 / $481.30	Professional		$98.80	$120.90	$481.30