Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $154.94 / $154.94	Facility		$100.75	$154.94	$154.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $150.62 / $196.25	Professional		$113.98	$150.62	$196.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.31 / $311.64 / $474.28	Professional		$249.31	$311.64	$474.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.26 / $230.52 / $385.63	Facility		$147.26	$230.52	$385.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $406.17 / $1,249.11	Professional		$173.50	$406.17	$1,249.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.79 / $298.00 / $428.49	Facility		$191.79	$298.00	$428.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $298.00 / $428.49	Professional		$239.00	$298.00	$428.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $166.34 / $240.52 / $320.12	Professional		$166.34	$240.52	$320.12
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 $173.50 / $303.62 / $441.36	Professional		$173.50	$303.62	$441.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $263.00 / $388.80	Professional		$215.00	$263.00	$388.80