Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $225.27 / $225.27	Facility		$109.14	$225.27	$225.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $225.27 / $239.28	Professional		$107.43	$225.27	$239.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $188.99 / $273.27	Professional		$120.75	$188.99	$273.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.85 / $219.45 / $434.65	Facility		$168.85	$219.45	$434.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.87 / $513.40 / $1,416.78	Professional		$290.87	$513.40	$1,416.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.34 / $282.87 / $452.37	Facility		$198.34	$282.87	$452.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $282.87 / $404.66	Professional		$159.15	$282.87	$404.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $243.57 / $377.14	Professional		$158.19	$243.57	$377.14
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 $212.89 / $445.50 / $693.00	Professional		$212.89	$445.50	$693.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $199.10 / $353.80	Professional		$164.30	$199.10	$353.80