Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $100.36 / $100.36	Facility		$51.81	$100.36	$100.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $100.36 / $163.69	Professional		$61.64	$100.36	$163.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $210.28 / $289.24	Professional		$121.54	$210.28	$289.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $140.12 / $380.17	Facility		$64.94	$140.12	$380.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $262.88 / $751.52	Professional		$145.01	$262.88	$751.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.08 / $166.85 / $299.85	Facility		$120.08	$166.85	$299.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $188.02 / $281.69	Professional		$120.08	$188.02	$281.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $150.29 / $245.42	Professional		$90.73	$150.29	$245.42
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 $132.91 / $212.50 / $274.64	Professional		$132.91	$212.50	$274.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $119.70 / $219.10	Professional		$97.80	$119.70	$219.10