Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.54 / $117.57 / $117.57	Facility		$81.54	$117.57	$117.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $115.19 / $414.74	Professional		$92.10	$115.19	$414.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.57 / $253.67 / $358.39	Professional		$202.57	$253.67	$358.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.42 / $184.33 / $284.58	Facility		$118.42	$184.33	$284.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $300.52 / $943.60	Professional		$128.29	$300.52	$943.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.43 / $238.76 / $323.48	Facility		$149.43	$238.76	$323.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $238.76 / $323.48	Professional		$174.00	$238.76	$323.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.41 / $177.32 / $242.15	Professional		$125.41	$177.32	$242.15
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 $117.60 / $214.27 / $333.31	Professional		$117.60	$214.27	$333.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $211.40 / $293.10	Professional		$172.70	$211.40	$293.10