Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $203.37 / $203.37	Facility		$95.95	$203.37	$203.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $203.37 / $215.49	Professional		$95.95	$203.37	$215.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $139.74 / $242.34	Professional		$105.75	$139.74	$242.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.05 / $192.80 / $391.83	Facility		$148.05	$192.80	$391.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.60 / $489.78 / $1,283.65	Professional		$264.60	$489.78	$1,283.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.77 / $252.42 / $400.79	Facility		$173.77	$252.42	$400.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $250.85 / $372.57	Professional		$139.74	$250.85	$372.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $213.87 / $334.45	Professional		$138.90	$213.87	$334.45
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 $168.72 / $412.44 / $737.60	Professional		$168.72	$412.44	$737.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $174.80 / $313.80	Professional		$144.19	$174.80	$313.80