Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.45 / $58.45 / $81.93	Facility		$58.45	$58.45	$81.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $82.20 / $186.86	Professional		$58.45	$82.20	$186.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $167.51 / $238.60	Professional		$121.78	$167.51	$238.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $117.81 / $191.01	Facility		$83.66	$117.81	$191.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $183.40 / $605.52	Professional		$89.48	$183.40	$605.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.84 / $144.63 / $209.13	Facility		$107.84	$144.63	$209.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $155.74 / $209.13	Professional		$121.98	$155.74	$209.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $115.80 / $161.72	Professional		$86.33	$115.80	$161.72
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 $83.95 / $150.53 / $220.72	Professional		$83.95	$150.53	$220.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $140.60 / $196.30	Professional		$114.90	$140.60	$196.30