Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.95 / $122.99 / $122.99	Facility		$106.95	$122.99	$122.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $100.72 / $168.58	Professional		$89.37	$100.72	$168.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $265.67 / $332.09	Professional		$193.14	$265.67	$332.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $148.44 / $290.88	Facility		$87.84	$148.44	$290.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $227.50 / $818.01	Professional		$100.61	$227.50	$818.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $215.85 / $250.52 / $305.56	Facility		$215.85	$250.52	$305.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $262.99 / $305.56	Professional		$197.15	$262.99	$305.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $185.47 / $222.53	Professional		$116.40	$185.47	$222.53
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 $125.13 / $208.95 / $324.41	Professional		$125.13	$208.95	$324.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $233.00 / $265.39	Professional		$216.90	$233.00	$265.39