Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $138.35 / $576.90	Facility		$117.90	$138.35	$576.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $121.82 / $351.02	Professional		$110.75	$121.82	$351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $331.90 / $414.87	Professional		$254.59	$331.90	$414.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $202.16 / $299.98	Facility		$142.54	$202.16	$299.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $302.23 / $1,092.00	Professional		$128.99	$302.23	$1,092.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.95 / $284.60 / $399.16	Facility		$165.95	$284.60	$399.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $260.95 / $399.16	Professional		$203.00	$260.95	$399.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $211.71 / $283.33	Professional		$145.38	$211.71	$283.33
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 $128.99 / $268.73 / $356.27	Professional		$128.99	$268.73	$356.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $242.70 / $297.00 / $337.90	Professional		$242.70	$297.00	$337.90