Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $169.82 / $426.58	Facility		$41.69	$169.82	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $190.55	Professional		$40.74	$67.61	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $234.42	Professional		$102.33	$128.82	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $186.21	Facility		$53.70	$97.72	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $588.84	Professional		$64.57	$134.90	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $162.18	Professional		$102.33	$107.15	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $141.25	Professional		$95.50	$95.50	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $154.88	Professional		$75.86	$102.33	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $186.21	Professional		$57.54	$97.72	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $173.78	Professional		$81.28	$100.00	$173.78