Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $198.61 / $320.54	Facility		$40.17	$198.61	$320.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $79.40 / $228.73	Professional		$40.17	$79.40	$228.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $132.00 / $243.47	Professional		$84.50	$132.00	$243.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $116.36 / $195.94	Facility		$56.99	$116.36	$195.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.24 / $186.32 / $621.67	Professional		$91.24	$186.32	$621.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.97 / $125.51 / $214.79	Facility		$90.97	$125.51	$214.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $132.94 / $214.79	Professional		$90.97	$132.94	$214.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $108.50 / $166.25	Professional		$68.73	$108.50	$166.25
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 $81.56 / $144.72 / $225.12	Professional		$81.56	$144.72	$225.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $98.10 / $201.80	Professional		$80.20	$98.10	$201.80