Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $66.84 / $99.21	Facility		$66.84	$66.84	$99.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $82.81 / $163.63	Professional		$58.14	$82.81	$163.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $188.93 / $287.29	Professional		$137.35	$188.93	$287.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $139.94 / $230.98	Facility		$94.94	$139.94	$230.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $222.21 / $738.00	Professional		$101.70	$222.21	$738.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $166.61 / $249.86	Facility		$118.63	$166.61	$249.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $179.53 / $249.86	Professional		$138.21	$179.53	$249.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $133.91 / $197.95	Professional		$98.89	$133.91	$197.95
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 $107.02 / $173.75 / $270.27	Professional		$107.02	$173.75	$270.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $162.50 / $240.30	Professional		$132.80	$162.50	$240.30