Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.07 / $92.07 / $125.15	Facility		$92.07	$92.07	$125.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $106.31 / $271.20	Professional		$77.90	$106.31	$271.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $263.92 / $363.26	Professional		$166.50	$263.92	$363.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.17 / $179.66 / $291.29	Facility		$122.17	$179.66	$291.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $277.66 / $927.52	Professional		$120.56	$277.66	$927.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.36 / $212.32 / $287.08	Facility		$156.36	$212.32	$287.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $212.32 / $279.52	Professional		$166.50	$212.32	$279.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $185.66 / $249.70	Professional		$125.23	$185.66	$249.70
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 $132.12 / $222.20 / $337.46	Professional		$132.12	$222.20	$337.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $225.40 / $303.10	Professional		$184.20	$225.40	$303.10