Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.23 / $101.23 / $164.18	Facility		$101.23	$101.23	$164.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $140.44 / $299.04	Professional		$85.67	$140.44	$299.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $290.20 / $481.09	Professional		$210.98	$290.20	$481.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.78 / $231.86 / $384.83	Facility		$144.78	$231.86	$384.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $359.17 / $1,217.52	Professional		$159.75	$359.17	$1,217.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.66 / $260.38 / $416.44	Facility		$213.66	$260.38	$416.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $274.13 / $416.44	Professional		$213.66	$274.13	$416.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.07 / $210.06 / $327.33	Professional		$163.07	$210.06	$327.33
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 $174.27 / $281.48 / $437.86	Professional		$174.27	$281.48	$437.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $246.60 / $397.30	Professional		$201.50	$246.60	$397.30