Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $91.91 / $91.91	Facility		$83.70	$91.91	$91.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $83.70 / $91.91	Professional		$72.73	$83.70	$91.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $216.59 / $270.74	Professional		$177.71	$216.59	$270.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $145.47 / $238.18	Facility		$104.49	$145.47	$238.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $225.53 / $758.33	Professional		$94.93	$225.53	$758.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $215.83 / $275.30	Facility		$173.00	$215.83	$275.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $214.70 / $269.56	Professional		$172.54	$214.70	$269.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $152.01 / $190.84	Professional		$107.85	$152.01	$190.84
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 $95.10 / $174.71 / $271.77	Professional		$95.10	$174.71	$271.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $195.10 / $214.00	Professional		$159.50	$195.10	$214.00