Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $419.63 / $618.20	Facility		$163.44	$419.63	$618.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $93.32 / $248.40	Professional		$35.47	$93.32	$248.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $184.73 / $268.79	Professional		$96.60	$184.73	$268.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.23 / $132.03 / $331.41	Facility		$60.23	$132.03	$331.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $221.93 / $866.68	Professional		$97.65	$221.93	$866.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.81 / $205.25 / $247.27	Facility		$108.81	$205.25	$247.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $177.59 / $254.61	Professional		$97.52	$177.59	$254.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $136.01 / $182.43	Professional		$73.69	$136.01	$182.43
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 $97.65 / $161.44 / $251.13	Professional		$97.65	$161.44	$251.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $97.20 / $204.60	Professional		$79.40	$97.20	$204.60