Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $51.88 / $98.44	Facility		$51.88	$51.88	$98.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $78.53 / $111.79	Professional		$45.78	$78.53	$111.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $158.66 / $257.10	Professional		$114.51	$158.66	$257.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $121.83 / $214.75	Facility		$65.11	$121.83	$214.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $232.48 / $666.32	Professional		$98.69	$232.48	$666.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.47 / $150.15 / $232.52	Facility		$111.47	$150.15	$232.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $150.15 / $232.52	Professional		$109.17	$150.15	$232.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $127.33 / $170.78	Professional		$72.34	$127.33	$170.78
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 $98.69 / $172.70 / $244.86	Professional		$98.69	$172.70	$244.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $113.10 / $199.10	Professional		$92.40	$113.10	$199.10