Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $136.58 / $136.58	Facility		$59.50	$136.58	$136.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $115.03 / $192.35	Professional		$59.50	$115.03	$192.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $172.38 / $389.55	Professional		$125.32	$172.38	$389.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.26 / $170.93 / $308.72	Facility		$85.26	$170.93	$308.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $267.72 / $1,237.63	Professional		$127.44	$267.72	$1,237.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $260.56 / $423.39	Facility		$133.91	$260.56	$423.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $190.35 / $338.48	Professional		$129.91	$190.35	$338.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $182.24 / $259.41	Professional		$101.18	$182.24	$259.41
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 $123.07 / $223.76 / $357.14	Professional		$123.07	$223.76	$357.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $144.50 / $314.89	Professional		$118.10	$144.50	$314.89