Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $97.52 / $97.52	Facility		$58.21	$97.52	$97.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $124.28 / $354.22	Professional		$73.70	$124.28	$354.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $170.43 / $284.37	Professional		$136.33	$170.43	$284.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $143.58 / $363.41	Facility		$84.96	$143.58	$363.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $285.07 / $743.20	Professional		$128.12	$285.07	$743.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $219.00 / $313.91	Facility		$152.16	$219.00	$313.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $204.00 / $321.04	Professional		$137.54	$204.00	$321.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $166.62 / $232.66	Professional		$101.03	$166.62	$232.66
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $52.12 / $52.12 / $52.12	Professional	AS	$52.12	$52.12	$52.12
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 $143.75 / $201.72 / $285.07	Professional		$143.75	$201.72	$285.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $137.10 / $219.80	Professional		$112.10	$137.10	$219.80