Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.05 / $96.03 / $96.03	Facility		$58.05	$96.03	$96.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $90.21 / $117.70	Professional		$65.15	$90.21	$117.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $204.92 / $292.16	Professional		$143.35	$204.92	$292.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $136.72 / $232.15	Facility		$84.96	$136.72	$232.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $245.53 / $770.16	Professional		$104.87	$245.53	$770.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $173.22 / $258.79	Facility		$123.25	$173.22	$258.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $175.76 / $258.79	Professional		$150.66	$175.76	$258.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $145.29 / $197.14	Professional		$95.20	$145.29	$197.14
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 $104.87 / $171.55 / $267.39	Professional		$104.87	$171.55	$267.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $152.00 / $239.10	Professional		$124.20	$152.00	$239.10