Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $128.87 / $497.70	Facility		$51.55	$128.87	$497.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $67.65 / $162.00	Professional		$46.08	$67.65	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $159.72 / $199.64	Professional		$116.11	$159.72	$199.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $99.15 / $172.18	Facility		$67.98	$99.15	$172.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $132.61 / $506.56	Professional		$66.29	$132.61	$506.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $140.00 / $173.47	Facility		$113.00	$140.00	$173.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $139.41 / $173.47	Professional		$110.00	$139.41	$173.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $107.39 / $132.61	Professional		$68.11	$107.39	$132.61
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 $79.31 / $132.18 / $183.12	Professional		$79.31	$132.18	$183.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $120.40 / $148.69	Professional		$98.40	$120.40	$148.69