Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $140.55 / $140.55	Facility		$99.04	$140.55	$140.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $99.04 / $200.47	Professional		$76.37	$99.04	$200.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $290.20 / $408.05	Professional		$177.15	$290.20	$408.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.09 / $196.31 / $267.54	Facility		$132.09	$196.31	$267.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $249.65 / $1,058.16	Professional		$111.60	$249.65	$1,058.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.63 / $227.82 / $326.35	Facility		$160.63	$227.82	$326.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $212.82 / $318.31	Professional		$160.87	$212.82	$318.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $182.14 / $283.99	Professional		$127.86	$182.14	$283.99
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 $125.20 / $223.67 / $347.93	Professional		$125.20	$223.67	$347.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $252.00 / $344.70	Professional		$206.00	$252.00	$344.70