Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.17 / $146.41 / $146.41	Facility		$89.17	$146.41	$146.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $128.68 / $146.41	Professional		$82.98	$128.68	$146.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $228.86 / $379.81	Professional		$183.09	$228.86	$379.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.42 / $175.90 / $350.57	Facility		$110.42	$175.90	$350.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $297.11 / $995.20	Professional		$166.85	$297.11	$995.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $273.22 / $366.68	Facility		$200.50	$273.22	$366.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $273.22 / $366.68	Professional		$189.95	$273.22	$366.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $184.24 / $266.52	Professional		$125.88	$184.24	$266.52
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 $162.34 / $273.89 / $426.05	Professional		$162.34	$273.89	$426.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $213.10 / $336.40	Professional		$174.20	$213.10	$336.40