Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $87.93	Facility		$42.40	$42.40	$87.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $75.09 / $132.74	Professional		$39.82	$75.09	$132.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $120.76 / $259.05	Professional		$89.28	$120.76	$259.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $112.64 / $205.75	Facility		$59.93	$112.64	$205.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $190.21 / $648.48	Professional		$84.60	$190.21	$648.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $131.38 / $221.71	Facility		$96.80	$131.38	$221.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $127.40 / $221.71	Professional		$90.94	$127.40	$221.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $105.12 / $175.31	Professional		$64.15	$105.12	$175.31
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 $74.80 / $149.27 / $232.20	Professional		$74.80	$149.27	$232.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $104.40 / $212.80	Professional		$85.40	$104.40	$212.80