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 $64.57 / $67.61 / $112.20	Professional		$64.57	$67.61	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $204.17	Professional		$154.88	$162.18	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $194.98	Facility		$85.11	$120.23	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $660.69	Professional		$66.07	$131.83	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $173.78	Professional		$147.91	$154.88	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $138.04	Professional		$95.50	$120.23	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $204.17	Professional		$81.28	$138.04	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $165.96	Professional		$134.90	$158.49	$165.96