Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $136.03 / $136.03	Facility		$103.89	$136.03	$136.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $146.55 / $290.37	Professional		$113.73	$146.55	$290.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.65 / $330.14 / $427.53	Professional		$248.65	$330.14	$427.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.30 / $207.86 / $367.65	Facility		$143.30	$207.86	$367.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $378.58 / $1,085.92	Professional		$169.73	$378.58	$1,085.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.91 / $285.43 / $439.03	Facility		$214.91	$285.43	$439.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.91 / $285.43 / $374.12	Professional		$214.91	$285.43	$374.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.05 / $222.53 / $285.27	Professional		$146.05	$222.53	$285.27
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 $169.73 / $282.88 / $395.53	Professional		$169.73	$282.88	$395.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $265.39 / $340.90	Professional		$216.90	$265.39	$340.90