Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $140.91 / $140.91	Facility		$89.96	$140.91	$140.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $138.74 / $352.44	Professional		$103.26	$138.74	$352.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.49 / $275.61 / $429.48	Professional		$220.49	$275.61	$429.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.60 / $205.84 / $352.35	Facility		$131.60	$205.84	$352.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $371.42 / $1,134.24	Professional		$158.52	$371.42	$1,134.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.42 / $266.57 / $390.97	Facility		$176.42	$266.57	$390.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $270.47 / $390.97	Professional		$218.00	$270.47	$390.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $218.24 / $290.33	Professional		$150.94	$218.24	$290.33
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 $158.52 / $264.20 / $403.51	Professional		$158.52	$264.20	$403.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $232.20 / $351.00	Professional		$189.80	$232.20	$351.00