Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $128.80 / $128.80	Facility		$39.08	$128.80	$128.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $109.46 / $191.00	Professional		$39.08	$109.46	$191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $193.14 / $332.09	Professional		$81.03	$193.14	$332.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $150.94 / $322.47	Facility		$51.35	$150.94	$322.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $304.95 / $847.68	Professional		$175.24	$304.95	$847.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.67 / $239.40 / $313.07	Facility		$90.67	$239.40	$313.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $239.40 / $311.06	Professional		$82.98	$239.40	$311.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $163.26 / $247.75	Professional		$62.69	$163.26	$247.75
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 $149.72 / $230.34 / $304.95	Professional		$149.72	$230.34	$304.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $93.10 / $282.50	Professional		$76.09	$93.10	$282.50