Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $167.44 / $167.44	Facility		$85.37	$167.44	$167.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $167.44 / $308.58	Professional		$105.92	$167.44	$308.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.80 / $261.00 / $492.78	Professional		$208.80	$261.00	$492.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.06 / $226.33 / $488.99	Facility		$111.06	$226.33	$488.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.96 / $432.39 / $1,258.88	Professional		$227.96	$432.39	$1,258.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $221.30 / $284.91 / $427.70	Facility		$221.30	$284.91	$427.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $268.82 / $427.70	Professional		$198.70	$268.82	$427.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $243.56 / $326.68	Professional		$131.66	$243.56	$326.68
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 $160.25 / $290.41 / $451.75	Professional		$160.25	$290.41	$451.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $214.40 / $396.50	Professional		$175.20	$214.40	$396.50