Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.03 / $114.03 / $2,290.00	Facility		$114.03	$114.03	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $114.03 / $126.91	Professional		$103.19	$114.03	$126.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $271.13 / $338.91	Professional		$197.11	$271.13	$338.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $192.71 / $354.71	Facility		$128.27	$192.71	$354.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $239.60 / $926.16	Professional		$148.80	$239.60	$926.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.56 / $290.74 / $403.59	Facility		$194.56	$290.74	$403.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $283.12 / $346.46	Professional		$194.56	$283.12	$346.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.61 / $219.90 / $251.64	Professional		$162.61	$219.90	$251.64
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 $148.80 / $224.10 / $348.60	Professional		$148.80	$224.10	$348.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $305.39 / $305.39	Professional		$249.60	$305.39	$305.39