Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $127.78 / $127.78	Facility		$48.47	$127.78	$127.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $112.78 / $127.78	Professional		$43.87	$112.78	$127.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $173.36 / $365.20	Professional		$104.78	$173.36	$365.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $162.01 / $314.49	Facility		$74.14	$162.01	$314.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $232.44 / $3,402.52	Professional		$117.43	$232.44	$3,402.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.36 / $236.82 / $400.46	Facility		$109.36	$236.82	$400.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $209.71 / $337.86	Professional		$105.18	$209.71	$337.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $167.58 / $241.94	Professional		$83.58	$167.58	$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 $148.51 / $214.02 / $331.77	Professional		$148.51	$214.02	$331.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $119.40 / $293.70	Professional		$97.50	$119.40	$293.70