Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $56.73 / $56.73	Facility		$28.70	$56.73	$56.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $58.88 / $153.08	Professional		$28.35	$58.88	$153.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $83.75 / $167.51	Professional		$64.04	$83.75	$167.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $75.98 / $142.62	Facility		$39.70	$75.98	$142.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $123.25 / $428.56	Professional		$57.43	$123.25	$428.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $89.68 / $146.27	Facility		$73.84	$89.68	$146.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $89.68 / $150.26	Professional		$64.04	$89.68	$150.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $82.96 / $111.27	Professional		$44.84	$82.96	$111.27
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 $50.14 / $99.32 / $154.44	Professional		$50.14	$99.32	$154.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $63.80 / $124.80	Professional		$52.20	$63.80	$124.80