Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $64.53	Facility		$43.55	$43.55	$64.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $59.32 / $105.63	Professional		$41.00	$59.32	$105.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $122.71 / $186.98	Professional		$89.21	$122.71	$186.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $94.05 / $152.47	Facility		$61.84	$94.05	$152.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $142.90 / $486.56	Professional		$69.73	$142.90	$486.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $109.36 / $165.03	Facility		$73.95	$109.36	$165.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $117.48 / $165.03	Professional		$90.22	$117.48	$165.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $86.68 / $128.09	Professional		$64.63	$86.68	$128.09
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 $69.77 / $109.82 / $170.83	Professional		$69.77	$109.82	$170.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $105.20 / $155.50	Professional		$86.00	$105.20	$155.50