Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $88.28 / $88.28	Facility		$64.45	$88.28	$88.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $68.81 / $105.54	Professional		$52.78	$68.81	$105.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $183.09 / $250.29	Professional		$126.42	$183.09	$250.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $123.93 / $202.46	Facility		$91.55	$123.93	$202.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $189.05 / $646.88	Professional		$90.44	$189.05	$646.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.52 / $160.01 / $209.00	Facility		$105.52	$160.01	$209.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $160.90 / $209.00	Professional		$126.17	$160.90	$209.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $128.72 / $172.08	Professional		$92.32	$128.72	$172.08
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 $88.73 / $152.11 / $235.15	Professional		$88.73	$152.11	$235.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $156.30 / $208.90	Professional		$127.70	$156.30	$208.90