Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $140.85 / $140.85	Facility		$66.56	$140.85	$140.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $116.99 / $235.97	Professional		$66.56	$116.99	$235.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $172.18 / $365.20	Professional		$123.84	$172.18	$365.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.42 / $197.71 / $340.20	Facility		$95.42	$197.71	$340.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $311.18 / $1,236.00	Professional		$156.24	$311.18	$1,236.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $144.36 / $212.79 / $364.73	Facility		$144.36	$212.79	$364.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $212.79 / $349.49	Professional		$144.36	$212.79	$349.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $182.31 / $256.02	Professional		$98.98	$182.31	$256.02
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 $152.75 / $247.77 / $385.42	Professional		$152.75	$247.77	$385.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $141.30 / $296.80	Professional		$115.50	$141.30	$296.80