Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $64.09 / $340.86	Facility		$42.84	$64.09	$340.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $52.86 / $97.66	Professional		$35.92	$52.86	$97.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $113.94 / $173.35	Professional		$82.84	$113.94	$173.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $72.56 / $150.44	Facility		$37.97	$72.56	$150.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $109.21 / $715.03	Professional		$51.72	$109.21	$715.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $112.83 / $158.86	Facility		$88.79	$112.83	$158.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $110.79 / $162.13	Professional		$88.79	$110.79	$162.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $82.24 / $117.09	Professional		$56.39	$82.24	$117.09
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 $63.23 / $104.12 / $166.04	Professional		$63.23	$104.12	$166.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $94.10 / $139.60	Professional		$90.50	$94.10	$139.60