Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $62.24 / $89.63	Facility		$62.24	$62.24	$89.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $82.40 / $227.70	Professional		$57.03	$82.40	$227.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $180.17 / $261.97	Professional		$127.04	$180.17	$261.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.76 / $128.58 / $208.46	Facility		$86.76	$128.58	$208.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $195.43 / $659.04	Professional		$94.16	$195.43	$659.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $153.36 / $227.85	Facility		$124.80	$153.36	$227.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $165.76 / $227.85	Professional		$127.04	$165.76	$227.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $124.85 / $177.90	Professional		$89.80	$124.85	$177.90
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 $74.55 / $134.58 / $237.24	Professional		$74.55	$134.58	$237.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $151.50 / $215.90	Professional		$123.90	$151.50	$215.90