Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.17 / $137.65 / $137.65	Facility		$98.17	$137.65	$137.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $124.45 / $226.39	Professional		$92.73	$124.45	$226.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $278.52 / $396.37	Professional		$202.49	$278.52	$396.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.93 / $196.50 / $318.58	Facility		$138.93	$196.50	$318.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $304.95 / $1,012.88	Professional		$143.55	$304.95	$1,012.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $242.26 / $352.73	Facility		$174.87	$242.26	$352.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $261.68 / $352.73	Professional		$204.91	$261.68	$352.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $195.36 / $271.70	Professional		$143.76	$195.36	$271.70
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 $147.75 / $274.95 / $371.81	Professional		$147.75	$274.95	$371.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $237.10 / $329.80	Professional		$193.80	$237.10	$329.80