Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $129.10 / $129.10	Facility		$47.11	$129.10	$129.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $117.86 / $129.10	Professional		$44.11	$117.86	$129.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $125.63 / $331.12	Professional		$100.50	$125.63	$331.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $120.12 / $322.94	Facility		$63.08	$120.12	$322.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $330.12 / $1,116.44	Professional		$158.72	$330.12	$1,116.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.36 / $261.00 / $355.62	Facility		$109.36	$261.00	$355.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $212.43 / $307.45	Professional		$98.98	$212.43	$307.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $163.04 / $221.24	Professional		$72.69	$163.04	$221.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $240.47 / $344.90	Professional		$158.72	$240.47	$344.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $111.00 / $279.20	Professional		$90.70	$111.00	$279.20