Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.64 / $184.37 / $184.37	Facility		$102.64	$184.37	$184.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $165.68 / $249.15	Professional		$102.64	$165.68	$249.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $312.86 / $541.47	Professional		$181.34	$312.86	$541.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $235.46 / $443.55	Facility		$122.74	$235.46	$443.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.05 / $355.95 / $1,394.64	Professional		$195.05	$355.95	$1,394.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $237.26 / $303.29 / $468.81	Facility		$237.26	$303.29	$468.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $237.26 / $285.06 / $468.81	Professional		$237.26	$285.06	$468.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $232.34 / $358.79	Professional		$157.22	$232.34	$358.79
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 $187.26 / $339.00 / $493.75	Professional		$187.26	$339.00	$493.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $256.00 / $438.90	Professional		$209.20	$256.00	$438.90