Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $90.54 / $90.54	Facility		$83.70	$90.54	$90.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $83.70 / $90.54	Professional		$72.73	$83.70	$90.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $213.47 / $266.83	Professional		$177.71	$213.47	$266.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $143.34 / $248.56	Facility		$104.49	$143.34	$248.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $223.12 / $758.33	Professional		$91.12	$223.12	$758.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $215.83 / $275.30	Facility		$162.00	$215.83	$275.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $211.79 / $269.56	Professional		$170.77	$211.79	$269.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.71 / $155.58 / $188.25	Professional		$106.71	$155.58	$188.25
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 $91.12 / $169.76 / $268.74	Professional		$91.12	$169.76	$268.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $195.10 / $211.10	Professional		$159.50	$195.10	$211.10