Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $131.86 / $131.86	Facility		$50.65	$131.86	$131.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $117.29 / $238.85	Professional		$46.34	$117.29	$238.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $132.59 / $327.22	Professional		$98.46	$132.59	$327.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $134.54 / $326.81	Facility		$66.56	$134.54	$326.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $329.89 / $1,042.93	Professional		$130.06	$329.89	$1,042.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.46 / $230.54 / $370.20	Facility		$115.46	$230.54	$370.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $230.54 / $329.89	Professional		$103.34	$230.54	$329.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $186.42 / $252.39	Professional		$78.09	$186.42	$252.39
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 $148.43 / $260.12 / $389.09	Professional		$148.43	$260.12	$389.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $115.90 / $276.80	Professional		$94.70	$115.90	$276.80