Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $99.62 / $99.62	Facility		$68.84	$99.62	$99.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $88.37 / $121.70	Professional		$62.21	$88.37	$121.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $204.51 / $290.20	Professional		$154.30	$204.51	$290.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.61 / $142.56 / $244.12	Facility		$86.61	$142.56	$244.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $233.75 / $747.36	Professional		$87.54	$233.75	$747.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $194.19 / $247.80	Facility		$151.00	$194.19	$247.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $187.42 / $264.11	Professional		$143.18	$187.42	$264.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $144.69 / $194.07	Professional		$101.66	$144.69	$194.07
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 $86.77 / $187.00 / $271.12	Professional		$86.77	$187.00	$271.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $155.19 / $217.60	Professional		$126.90	$155.19	$217.60