Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $331.13	Facility		$61.66	$89.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $229.09	Professional		$57.54	$112.20	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $269.15	Professional		$120.23	$186.21	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $194.98	Facility		$81.28	$134.90	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $660.69	Professional		$81.28	$173.78	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $194.98	Professional		$141.25	$141.25	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $194.98	Professional		$125.89	$138.04	$194.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $177.83	Professional		$93.33	$131.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $229.09	Professional		$74.13	$128.82	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $213.80	Professional		$123.03	$151.36	$213.80