Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $31.31 / $57.28	Facility		$31.31	$31.31	$57.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $48.75 / $89.11	Professional		$26.20	$48.75	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $86.67 / $160.69	Professional		$63.96	$86.67	$160.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $74.86 / $131.87	Facility		$44.28	$74.86	$131.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $119.52 / $1,687.42	Professional		$56.52	$119.52	$1,687.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $96.98 / $143.46	Facility		$67.68	$96.98	$143.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $86.47 / $143.46	Professional		$67.12	$86.47	$143.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $68.09 / $108.68	Professional		$51.14	$68.09	$108.68
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 $51.89 / $95.69 / $148.85	Professional		$51.89	$95.69	$148.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $73.00 / $131.90	Professional		$59.70	$73.00	$131.90