Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $111.69 / $111.69	Facility		$75.98	$111.69	$111.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $120.81 / $184.81	Professional		$86.40	$120.81	$184.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $237.63 / $343.78	Professional		$190.10	$237.63	$343.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $173.70 / $306.95	Facility		$101.78	$173.70	$306.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $316.88 / $897.60	Professional		$139.85	$316.88	$897.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.66 / $234.00 / $312.48	Facility		$148.66	$234.00	$312.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $233.00 / $311.27	Professional		$184.86	$233.00	$311.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $173.63 / $232.88	Professional		$121.66	$173.63	$232.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $212.83 / $331.07	Professional		$103.99	$212.83	$331.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $195.90 / $277.70	Professional		$160.10	$195.90	$277.70