Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.96 / $213.00 / $213.00	Facility		$123.96	$213.00	$213.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $189.16 / $296.24	Professional		$130.12	$189.16	$296.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $408.03 / $565.82	Professional		$267.27	$408.03	$565.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $290.17 / $540.16	Facility		$157.63	$290.17	$540.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.28 / $493.92 / $1,793.11	Professional		$210.28	$493.92	$1,793.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $262.73 / $363.96 / $526.59	Facility		$262.73	$363.96	$526.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $363.96 / $511.92	Professional		$262.73	$363.96	$511.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $281.20 / $381.02	Professional		$194.83	$281.20	$381.02
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 $218.45 / $344.02 / $535.14	Professional		$218.45	$344.02	$535.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $272.20 / $444.10	Professional		$222.50	$272.20	$444.10