Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $101.76 / $101.76	Facility		$68.68	$101.76	$101.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $86.12 / $157.02	Professional		$58.55	$86.12	$157.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $198.67 / $297.02	Professional		$144.43	$198.67	$297.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.55 / $146.47 / $189.96	Facility		$97.55	$146.47	$189.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $173.84 / $751.28	Professional		$85.59	$173.84	$751.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $160.58 / $232.93	Facility		$114.61	$160.58	$232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $157.11 / $223.55	Professional		$120.90	$157.11	$223.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $126.27 / $202.48	Professional		$90.44	$126.27	$202.48
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 $85.59 / $155.84 / $270.42	Professional		$85.59	$155.84	$270.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $168.00 / $245.80	Professional		$137.30	$168.00	$245.80