Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $480.20 / $768.75	Facility		$111.72	$480.20	$768.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $166.45 / $471.30	Professional		$111.95	$166.45	$471.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $321.38 / $410.00	Professional		$233.64	$321.38	$410.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.04 / $208.04 / $368.64	Facility		$162.04	$208.04	$368.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $323.32 / $1,104.40	Professional		$152.28	$323.32	$1,104.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $271.32 / $405.06	Facility		$160.22	$271.32	$405.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $304.64 / $405.06	Professional		$222.05	$304.64	$405.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $240.00 / $297.57	Professional		$173.34	$240.00	$297.57
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 $148.94 / $256.82 / $399.50	Professional		$148.94	$256.82	$399.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $291.30 / $361.20	Professional		$238.10	$291.30	$361.20