Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $201.93 / $201.93	Facility		$117.32	$201.93	$201.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $117.32 / $201.93	Professional		$97.87	$117.32	$201.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.10 / $321.38 / $539.53	Professional		$257.10	$321.38	$539.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $263.39 / $471.05	Facility		$137.47	$263.39	$471.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $490.25 / $1,382.56	Professional		$219.95	$490.25	$1,382.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.07 / $280.11 / $484.74	Facility		$236.07	$280.11	$484.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $334.68 / $484.74	Professional		$234.00	$334.68	$484.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $266.27 / $359.03	Professional		$162.05	$266.27	$359.03
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 $239.49 / $329.27 / $512.20	Professional		$239.49	$329.27	$512.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $253.30 / $418.50	Professional		$207.10	$253.30	$418.50