Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $76.51 / $170.04	Facility		$42.67	$76.51	$170.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $61.89 / $129.96	Professional		$40.21	$61.89	$129.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $156.83 / $228.86	Professional		$96.45	$156.83	$228.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.56 / $112.92 / $185.69	Facility		$59.56	$112.92	$185.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $169.88 / $591.44	Professional		$65.84	$169.88	$591.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $137.65 / $196.08	Facility		$104.65	$137.65	$196.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $134.53 / $198.54	Professional		$103.05	$134.53	$198.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $101.99 / $156.55	Professional		$75.34	$101.99	$156.55
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 $74.75 / $130.84 / $203.53	Professional		$74.75	$130.84	$203.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $99.40 / $175.50	Professional		$81.20	$99.40	$175.50