Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.70 / $99.05 / $99.05	Facility		$27.70	$99.05	$99.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $94.71 / $222.44	Professional		$27.70	$94.71	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $172.75 / $297.02	Professional		$69.34	$172.75	$297.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $97.27 / $281.42	Facility		$36.56	$97.27	$281.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $271.62 / $820.59	Professional		$128.50	$271.62	$820.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.63 / $159.26 / $274.44	Facility		$72.63	$159.26	$274.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $143.00 / $266.36	Professional		$66.23	$143.00	$266.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $140.83 / $189.54	Professional		$43.89	$140.83	$189.54
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 $128.50 / $209.79 / $283.77	Professional		$128.50	$209.79	$283.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $71.50 / $236.30	Professional		$58.40	$71.50	$236.30