Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $129.33 / $165.44	Facility		$53.16	$129.33	$165.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $76.59 / $193.55	Professional		$51.47	$76.59	$193.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $168.01 / $246.39	Professional		$119.85	$168.01	$246.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $121.29 / $211.40	Facility		$68.09	$121.29	$211.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $203.28 / $636.72	Professional		$78.78	$203.28	$636.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $160.59 / $218.25	Facility		$123.40	$160.59	$218.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $157.54 / $227.67	Professional		$123.01	$157.54	$227.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $120.47 / $166.90	Professional		$81.51	$120.47	$166.90
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 $89.44 / $161.13 / $230.44	Professional		$89.44	$161.13	$230.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $122.60 / $187.20	Professional		$100.20	$122.60	$187.20