Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.83 / $96.01 / $291.07	Facility		$48.83	$96.01	$291.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $96.01 / $160.16	Professional		$48.83	$96.01	$160.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $148.41 / $282.42	Professional		$116.87	$148.41	$282.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.35 / $127.00 / $236.24	Facility		$63.35	$127.00	$236.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $255.38 / $725.28	Professional		$108.94	$255.38	$725.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.11 / $156.43 / $241.99	Facility		$117.11	$156.43	$241.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $181.73 / $241.99	Professional		$117.11	$181.73	$241.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $141.31 / $183.83	Professional		$86.33	$141.31	$183.83
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 $118.58 / $171.52 / $266.81	Professional		$118.58	$171.52	$266.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $123.30 / $230.10	Professional		$100.80	$123.30	$230.10