Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $119.77 / $119.77	Facility		$65.17	$119.77	$119.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $108.32 / $199.86	Professional		$65.17	$108.32	$199.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $195.75 / $353.52	Professional		$147.69	$195.75	$353.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $168.41 / $335.61	Facility		$92.09	$168.41	$335.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $321.85 / $913.76	Professional		$118.18	$321.85	$913.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.51 / $198.00 / $328.03	Facility		$133.51	$198.00	$328.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $209.62 / $328.03	Professional		$151.38	$209.62	$328.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $176.52 / $236.77	Professional		$114.38	$176.52	$236.77
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 $141.61 / $243.43 / $363.24	Professional		$141.61	$243.43	$363.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $163.30 / $287.39	Professional		$133.50	$163.30	$287.39