Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $144.66 / $144.66	Facility		$83.03	$144.66	$144.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $127.99 / $145.87	Professional		$74.37	$127.99	$145.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $246.39 / $423.64	Professional		$143.30	$246.39	$423.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.35 / $216.30 / $360.72	Facility		$106.35	$216.30	$360.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $280.12 / $1,107.20	Professional		$160.07	$280.12	$1,107.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.15 / $277.08 / $473.44	Facility		$206.15	$277.08	$473.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $267.98 / $389.10	Professional		$193.44	$267.98	$389.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $198.27 / $284.62	Professional		$145.71	$198.27	$284.62
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 $164.19 / $260.95 / $405.94	Professional		$164.19	$260.95	$405.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $209.60 / $348.60	Professional		$171.30	$209.60	$348.60