Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $77.80 / $77.80	Facility		$48.06	$77.80	$77.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.67 / $82.73	Professional		$48.06	$68.67	$82.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $139.26 / $233.73	Professional		$106.10	$139.26	$233.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $115.02 / $205.98	Facility		$66.47	$115.02	$205.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $180.29 / $1,070.26	Professional		$77.19	$180.29	$1,070.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.80 / $149.38 / $202.85	Facility		$120.80	$149.38	$202.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $151.47 / $202.85	Professional		$107.71	$151.47	$202.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $116.72 / $156.55	Professional		$78.59	$116.72	$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 $86.90 / $119.84 / $218.60	Professional		$86.90	$119.84	$218.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $107.40 / $175.50	Professional		$87.70	$107.40	$175.50