Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $148.44 / $148.44	Facility		$148.44	$148.44	$148.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $148.44 / $165.24	Professional		$134.55	$148.44	$165.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $353.71 / $442.14	Professional		$257.14	$353.71	$442.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $262.14 / $461.96	Facility		$167.20	$262.14	$461.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $321.89 / $1,999.29	Professional		$193.14	$321.89	$1,999.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $379.87 / $524.54	Facility		$252.67	$379.87	$524.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $369.00 / $450.37	Professional		$254.00	$369.00	$450.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $203.57 / $283.14 / $327.98	Professional		$203.57	$283.14	$327.98
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 $193.14 / $312.39 / $453.68	Professional		$193.14	$312.39	$453.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $398.10 / $398.10	Professional		$325.39	$398.10	$398.10