Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $79.27 / $79.27	Facility		$48.84	$79.27	$79.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $69.16 / $79.27	Professional		$42.51	$69.16	$79.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $143.16 / $235.68	Professional		$108.01	$143.16	$235.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.25 / $116.01 / $200.88	Facility		$67.25	$116.01	$200.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $190.68 / $610.91	Professional		$72.02	$190.68	$610.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $130.00 / $199.78	Facility		$84.35	$130.00	$199.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $143.12 / $197.34	Professional		$108.53	$143.12	$197.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $112.95 / $161.08	Professional		$80.55	$112.95	$161.08
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 $83.90 / $152.54 / $220.08	Professional		$83.90	$152.54	$220.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $113.90 / $180.60	Professional		$93.10	$113.90	$180.60