Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $113.75 / $113.75	Facility		$53.41	$113.75	$113.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $94.76 / $173.01	Professional		$53.41	$94.76	$173.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $145.11 / $315.54	Professional		$107.28	$145.11	$315.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $160.13 / $276.33	Facility		$76.45	$160.13	$276.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $253.64 / $854.46	Professional		$132.86	$253.64	$854.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.74 / $184.42 / $296.64	Facility		$117.74	$184.42	$296.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $184.42 / $283.43	Professional		$117.74	$184.42	$283.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $153.11 / $210.89	Professional		$85.23	$153.11	$210.89
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 $127.33 / $201.42 / $313.32	Professional		$127.33	$201.42	$313.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $121.70 / $256.00	Professional		$99.50	$121.70	$256.00