Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $116.40 / $116.40	Facility		$49.74	$116.40	$116.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $99.94 / $283.50	Professional		$81.09	$99.94	$283.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $146.08 / $337.93	Professional		$113.54	$146.08	$337.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $144.03 / $275.97	Facility		$68.84	$144.03	$275.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $250.08 / $866.64	Professional		$98.13	$250.08	$866.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $158.51 / $291.60	Facility		$128.86	$158.51	$291.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $160.72 / $311.44	Professional		$113.54	$160.72	$311.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.38 / $156.61 / $225.12	Professional		$85.38	$156.61	$225.12
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 $110.03 / $198.34 / $308.52	Professional		$110.03	$198.34	$308.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $113.20 / $252.40	Professional		$92.50	$113.20	$252.40