Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $86.45 / $474.00	Facility		$40.99	$86.45	$474.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $95.87 / $150.22	Professional		$40.99	$95.87	$150.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $122.69 / $256.13	Professional		$87.79	$122.69	$256.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.59 / $122.60 / $268.63	Facility		$52.59	$122.60	$268.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $176.26 / $1,797.00	Professional		$103.42	$176.26	$1,797.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $134.28 / $260.43	Facility		$95.33	$134.28	$260.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $193.49 / $233.00	Professional		$95.33	$193.49	$233.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $128.77 / $179.86	Professional		$72.04	$128.77	$179.86
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 $96.94 / $176.26 / $234.75	Professional		$96.94	$176.26	$234.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.90 / $102.90 / $209.60	Professional		$98.90	$102.90	$209.60