Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $168.06 / $168.06	Facility		$130.88	$168.06	$168.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $149.46 / $204.40	Professional		$117.46	$149.46	$204.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.96 / $393.79 / $497.65	Professional		$229.96	$393.79	$497.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.93 / $244.71 / $419.87	Facility		$141.93	$244.71	$419.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $338.46 / $1,278.16	Professional		$188.00	$338.46	$1,278.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $409.56 / $534.97	Facility		$258.00	$409.56	$534.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.29 / $329.79 / $445.09	Professional		$248.29	$329.79	$445.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $265.88 / $327.73	Professional		$175.20	$265.88	$327.73
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 $177.29 / $318.82 / $495.94	Professional		$177.29	$318.82	$495.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.80 / $322.70 / $403.60	Professional		$263.80	$322.70	$403.60