Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $69.11 / $69.11	Facility		$50.31	$69.11	$69.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $49.10 / $81.84	Professional		$33.27	$49.10	$81.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $146.08 / $201.59	Professional		$110.22	$146.08	$201.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $100.38 / $189.12	Facility		$63.65	$100.38	$189.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $165.37 / $536.96	Professional		$66.06	$165.37	$536.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.95 / $158.66 / $194.78	Facility		$109.95	$158.66	$194.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $146.31 / $194.78	Professional		$117.48	$146.31	$194.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $105.14 / $141.02	Professional		$74.02	$105.14	$141.02
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 $66.06 / $129.91 / $202.10	Professional		$66.06	$129.91	$202.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $117.50 / $158.10	Professional		$96.00	$117.50	$158.10