Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $79.95 / $79.95	Facility		$79.95	$79.95	$79.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $79.95 / $238.46	Professional		$65.65	$79.95	$238.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $176.08 / $220.10	Professional		$171.02	$176.08	$220.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.88 / $119.14 / $215.95	Facility		$93.88	$119.14	$215.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $161.72 / $660.00	Professional		$88.95	$161.72	$660.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $195.68 / $239.83	Facility		$127.14	$195.68	$239.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $171.02 / $207.77	Professional		$116.00	$171.02	$207.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $132.29 / $152.02	Professional		$103.79	$132.29	$152.02
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 $97.03 / $143.84 / $223.75	Professional		$97.03	$143.84	$223.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $174.30 / $181.30	Professional		$148.19	$174.30	$181.30