Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $69.08 / $196.00	Facility		$43.78	$69.08	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $65.25 / $166.01	Professional		$43.78	$65.25	$166.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $127.58 / $202.57	Professional		$98.16	$127.58	$202.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.36 / $99.80 / $180.11	Facility		$60.36	$99.80	$180.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $172.58 / $525.36	Professional		$62.32	$172.58	$525.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $130.72 / $184.70	Facility		$103.00	$130.72	$184.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $131.68 / $187.35	Professional		$98.16	$131.68	$187.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $101.28 / $135.85	Professional		$70.08	$101.28	$135.85
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 $66.79 / $138.06 / $193.31	Professional		$66.79	$138.06	$193.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $97.90 / $152.30	Professional		$80.00	$97.90	$152.30