Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $203.37 / $418.35	Facility		$71.34	$203.37	$418.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $162.74 / $301.77	Professional		$79.59	$162.74	$301.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.43 / $192.83 / $528.80	Professional		$149.43	$192.83	$528.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $172.60 / $439.82	Facility		$63.59	$172.60	$439.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $328.73 / $686.06	Professional		$157.37	$328.73	$686.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.87 / $342.25 / $480.99	Facility		$163.87	$342.25	$480.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $327.60 / $498.41	Professional		$163.87	$327.60	$498.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $240.87 / $349.97	Professional		$108.60	$240.87	$349.97
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 $198.96 / $320.39 / $511.36	Professional		$198.96	$320.39	$511.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $157.40 / $417.30	Professional		$151.30	$157.40	$417.30