Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $67.63 / $98.92	Facility		$67.63	$67.63	$98.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $87.93 / $276.79	Professional		$62.56	$87.93	$276.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $194.78 / $288.27	Professional		$140.74	$194.78	$288.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $142.33 / $230.76	Facility		$96.79	$142.33	$230.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $215.91 / $730.00	Professional		$99.90	$215.91	$730.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.80 / $167.11 / $249.50	Facility		$134.80	$167.11	$249.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $180.32 / $249.50	Professional		$140.74	$180.32	$249.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $134.56 / $195.36	Professional		$99.77	$134.56	$195.36
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 $104.59 / $237.70 / $262.61	Professional		$104.59	$237.70	$262.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $163.30 / $237.10	Professional		$133.50	$163.30	$237.10