Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.35 / $176.36 / $176.36	Facility		$102.35	$176.36	$176.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $129.08 / $214.92	Professional		$93.23	$129.08	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $310.67 / $531.74	Professional		$225.85	$310.67	$531.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $232.95 / $316.99	Facility		$136.25	$232.95	$316.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $336.70 / $1,384.32	Professional		$143.46	$336.70	$1,384.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $273.45 / $458.59	Facility		$183.47	$273.45	$458.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.93 / $256.75 / $422.41	Professional		$216.93	$256.75	$422.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $204.11 / $356.89	Professional		$157.80	$204.11	$356.89
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 $143.46 / $281.12 / $435.74	Professional		$143.46	$281.12	$435.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $256.10 / $426.60	Professional		$209.30	$256.10	$426.60