Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $149.38 / $149.38	Facility		$96.80	$149.38	$149.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $146.49 / $443.22	Professional		$110.64	$146.49	$443.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.63 / $301.77 / $455.77	Professional		$237.63	$301.77	$455.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.61 / $221.34 / $374.08	Facility		$141.61	$221.34	$374.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $393.34 / $1,203.59	Professional		$167.90	$393.34	$1,203.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $185.64 / $287.20 / $399.09	Facility		$185.64	$287.20	$399.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $287.20 / $388.32	Professional		$232.34	$287.20	$388.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $160.12 / $231.38 / $307.44	Professional		$160.12	$231.38	$307.44
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 $167.90 / $275.70 / $428.88	Professional		$167.90	$275.70	$428.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $252.20 / $374.90	Professional		$206.20	$252.20	$374.90