Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $133.53 / $230.34	Facility		$81.00	$133.53	$230.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $200.08 / $313.08	Professional		$117.35	$200.08	$313.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.26 / $389.65 / $604.78	Professional		$281.26	$389.65	$604.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.11 / $293.95 / $590.09	Facility		$154.11	$293.95	$590.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $503.33 / $1,560.64	Professional		$213.41	$503.33	$1,560.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $267.49 / $378.00 / $661.14	Facility		$267.49	$378.00	$661.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $371.45 / $482.52	Professional		$239.16	$371.45	$482.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $287.94 / $401.08	Professional		$176.64	$287.94	$401.08
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 $217.66 / $345.46 / $537.38	Professional		$217.66	$345.46	$537.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $276.00 / $467.50	Professional		$225.50	$276.00	$467.50