Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $143.77 / $143.77	Facility		$100.90	$143.77	$143.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $126.72 / $161.06	Professional		$90.28	$126.72	$161.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.12 / $309.69 / $429.48	Professional		$180.12	$309.69	$429.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.59 / $203.86 / $420.32	Facility		$112.59	$203.86	$420.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $343.90 / $1,083.52	Professional		$180.14	$343.90	$1,083.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $223.49 / $271.64 / $407.13	Facility		$223.49	$271.64	$407.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $283.43 / $398.73	Professional		$225.92	$283.43	$398.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.85 / $210.24 / $281.45	Professional		$148.85	$210.24	$281.45
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 $180.14 / $288.77 / $449.20	Professional		$180.14	$288.77	$449.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $255.20 / $349.40	Professional		$208.60	$255.20	$349.40