Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $72.44 / $215.61	Professional		$59.39	$72.44	$215.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $158.94 / $198.67	Professional		$155.75	$158.94	$198.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $119.14 / $195.09	Facility		$84.93	$119.14	$195.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $146.78 / $660.00	Professional		$80.73	$146.78	$660.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $177.05 / $216.91	Facility		$115.38	$177.05	$216.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $155.75 / $189.76	Professional		$116.00	$155.75	$189.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $119.52 / $138.44	Professional		$93.41	$119.52	$138.44
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 $76.00 / $141.13 / $203.17	Professional		$76.00	$141.13	$203.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.69 / $165.10	Professional		$134.90	$158.69	$165.10