Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $98.78 / $98.78	Facility		$64.59	$98.78	$98.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $97.88 / $504.00	Professional		$63.93	$97.88	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $104.64 / $137.81	Professional		$72.00	$104.64	$137.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $109.16 / $175.17	Facility		$89.43	$109.16	$175.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $286.33 / $752.64	Professional		$116.99	$286.33	$752.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $120.04 / $200.31	Facility		$77.00	$120.04	$200.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $134.01 / $189.15	Professional		$88.44	$134.01	$189.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $126.79 / $190.84	Professional		$94.53	$126.79	$190.84
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 $116.99 / $192.31 / $299.14	Professional		$116.99	$192.31	$299.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $95.50 / $143.80	Professional		$78.90	$95.50	$143.80