Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $107.15	Facility		$74.13	$75.86	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $169.82	Professional		$70.79	$100.00	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $316.23	Professional		$138.04	$218.78	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $239.88	Facility		$97.72	$154.88	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $794.33	Professional		$93.33	$181.97	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $239.88	Professional		$147.91	$177.83	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $204.17	Professional		$138.04	$154.88	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $213.80	Professional		$112.20	$154.88	$213.80
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 $89.13 / $147.91 / $257.04	Professional		$89.13	$147.91	$257.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $257.04	Professional		$147.91	$181.97	$257.04