Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $118.51 / $118.51	Facility		$66.89	$118.51	$118.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $104.13 / $118.51	Professional		$59.79	$104.13	$118.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $226.57 / $340.86	Professional		$144.43	$226.57	$340.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $172.87 / $259.13	Facility		$101.05	$172.87	$259.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $213.90 / $3,576.94	Professional		$118.58	$213.90	$3,576.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.29 / $210.67 / $372.29	Facility		$151.29	$210.67	$372.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $198.04 / $267.37	Professional		$134.97	$198.04	$267.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $148.96 / $226.30	Professional		$106.27	$148.96	$226.30
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 $122.04 / $197.64 / $305.23	Professional		$122.04	$197.64	$305.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $165.70 / $277.20	Professional		$135.40	$165.70	$277.20