Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.17 / $119.89 / $119.89	Facility		$91.17	$119.89	$119.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $107.90 / $281.58	Professional		$82.44	$107.90	$281.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $279.20 / $352.54	Professional		$215.00	$279.20	$352.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.78 / $190.89 / $314.91	Facility		$121.78	$190.89	$314.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.36 / $329.29 / $933.52	Professional		$145.36	$329.29	$933.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.10 / $255.82 / $328.35	Facility		$117.10	$255.82	$328.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.52 / $255.82 / $328.35	Professional		$188.52	$255.82	$328.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.51 / $187.60 / $241.94	Professional		$131.51	$187.60	$241.94
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 $145.36 / $221.17 / $344.04	Professional		$145.36	$221.17	$344.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $227.70 / $293.70	Professional		$186.10	$227.70	$293.70