Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $74.29 / $74.29	Facility		$74.29	$74.29	$74.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $65.08 / $74.29	Professional		$54.38	$65.08	$74.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $162.83 / $203.54	Professional		$147.97	$162.83	$203.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.90 / $125.55 / $197.49	Facility		$70.90	$125.55	$197.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $152.46 / $576.64	Professional		$72.19	$152.46	$576.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $177.43 / $584.72	Facility		$128.00	$177.43	$584.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $149.82 / $208.57	Professional		$91.00	$149.82	$208.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $49.14 / $63.88	Professional		$49.14	$49.14	$63.88
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 $79.86 / $132.34 / $205.86	Professional		$79.86	$132.34	$205.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $98.30 / $102.30	Professional		$83.60	$98.30	$102.30