Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $148.03 / $148.03	Facility		$71.80	$148.03	$148.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $136.21 / $216.00	Professional		$87.73	$136.21	$216.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $248.08 / $426.56	Professional		$169.06	$248.08	$426.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.47 / $188.44 / $338.20	Facility		$92.47	$188.44	$338.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $350.25 / $1,112.00	Professional		$149.15	$350.25	$1,112.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.68 / $233.60 / $373.17	Facility		$155.68	$233.60	$373.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $248.11 / $373.17	Professional		$165.22	$248.11	$373.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $204.35 / $283.99	Professional		$124.83	$204.35	$283.99
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 $154.78 / $251.15 / $390.68	Professional		$154.78	$251.15	$390.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $178.20 / $347.80	Professional		$145.69	$178.20	$347.80