Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $202.96 / $202.96	Facility		$103.14	$202.96	$202.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $177.12 / $305.48	Professional		$98.28	$177.12	$305.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $316.63 / $595.04	Professional		$189.02	$316.63	$595.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $256.77 / $454.70	Facility		$109.69	$256.77	$454.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $368.91 / $1,538.16	Professional		$195.46	$368.91	$1,538.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.35 / $307.14 / $509.40	Facility		$224.35	$307.14	$509.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $295.44 / $476.34	Professional		$213.01	$295.44	$476.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $246.88 / $397.46	Professional		$162.05	$246.88	$397.46
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 $193.24 / $347.51 / $540.57	Professional		$193.24	$347.51	$540.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $263.80 / $486.80	Professional		$215.60	$263.80	$486.80