Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $58.61 / $150.04	Facility		$38.34	$58.61	$150.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $54.11 / $128.69	Professional		$38.34	$54.11	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $107.13 / $164.58	Professional		$78.75	$107.13	$164.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $87.84 / $134.40	Facility		$54.18	$87.84	$134.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $125.98 / $429.84	Professional		$63.00	$125.98	$429.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $95.53 / $150.01	Facility		$64.70	$95.53	$150.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $104.74 / $145.32	Professional		$83.00	$104.74	$145.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $74.39 / $111.91	Professional		$55.77	$74.39	$111.91
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 $63.98 / $100.24 / $155.93	Professional		$63.98	$100.24	$155.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $90.30 / $135.80	Professional		$73.80	$90.30	$135.80