Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.78 / $116.59 / $116.59	Facility		$75.78	$116.59	$116.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $104.18 / $239.23	Professional		$74.92	$104.18	$239.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $217.17 / $335.99	Professional		$157.88	$217.17	$335.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $167.68 / $271.86	Facility		$108.95	$167.68	$271.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $259.81 / $881.76	Professional		$121.61	$259.81	$881.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.67 / $218.67 / $301.77	Facility		$171.67	$218.67	$301.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $218.67 / $301.77	Professional		$169.78	$218.67	$301.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $169.57 / $234.82	Professional		$118.86	$169.57	$234.82
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 $121.61 / $206.12 / $320.63	Professional		$121.61	$206.12	$320.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $191.60 / $285.00	Professional		$156.60	$191.60	$285.00