Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $161.66 / $161.66	Facility		$67.31	$161.66	$161.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $126.96 / $161.66	Professional		$67.31	$126.96	$161.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $199.64 / $464.54	Professional		$159.72	$199.64	$464.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $193.26 / $286.35	Facility		$87.14	$193.26	$286.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $306.20 / $1,206.40	Professional		$130.46	$306.20	$1,206.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.27 / $226.00 / $399.83	Facility		$157.27	$226.00	$399.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $217.82 / $368.48	Professional		$136.79	$217.82	$368.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $178.25 / $308.70	Professional		$103.21	$178.25	$308.70
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 $140.65 / $328.28 / $392.62	Professional		$140.65	$328.28	$392.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $168.00 / $376.90	Professional		$137.30	$168.00	$376.90