Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $98.42 / $98.42	Facility		$57.26	$98.42	$98.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $91.06 / $146.34	Professional		$57.26	$91.06	$146.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $174.16 / $283.39	Professional		$121.68	$174.16	$283.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.64 / $146.19 / $294.24	Facility		$81.64	$146.19	$294.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $254.71 / $1,340.00	Professional		$121.73	$254.71	$1,340.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $144.78 / $243.05 / $873.61	Facility		$144.78	$243.05	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $182.84 / $260.63	Professional		$126.57	$182.84	$260.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $137.30 / $190.84	Professional		$84.88	$137.30	$190.84
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 $98.87 / $221.32 / $280.98	Professional		$98.87	$221.32	$280.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $138.19 / $231.60	Professional		$112.90	$138.19	$231.60