Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $54.31 / $77.08	Facility		$54.31	$54.31	$77.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $85.85 / $150.26	Professional		$54.31	$85.85	$150.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $155.82 / $224.97	Professional		$113.28	$155.82	$224.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $125.88 / $179.63	Facility		$77.64	$125.88	$179.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $176.48 / $569.67	Professional		$86.04	$176.48	$569.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.13 / $134.51 / $197.44	Facility		$100.13	$134.51	$197.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $144.80 / $197.44	Professional		$114.76	$144.80	$197.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $112.86 / $151.37	Professional		$79.58	$112.86	$151.37
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 $86.04 / $144.71 / $212.27	Professional		$86.04	$144.71	$212.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $129.60 / $183.70	Professional		$105.90	$129.60	$183.70