Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $122.70 / $122.70	Facility		$79.84	$122.70	$122.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $118.59 / $448.56	Professional		$89.68	$118.59	$448.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.89 / $247.36 / $376.89	Professional		$197.89	$247.36	$376.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.63 / $182.20 / $307.38	Facility		$116.63	$182.20	$307.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $323.51 / $990.00	Professional		$138.19	$323.51	$990.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $236.05 / $338.48	Facility		$151.75	$236.05	$338.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $236.05 / $338.48	Professional		$192.00	$236.05	$338.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $191.96 / $252.29	Professional		$131.63	$191.96	$252.29
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 $138.19 / $223.83 / $348.18	Professional		$138.19	$223.83	$348.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $209.00 / $309.30	Professional		$170.90	$209.00	$309.30