Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $126.39 / $126.39	Facility		$44.66	$126.39	$126.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $111.68 / $171.28	Professional		$47.76	$111.68	$171.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $136.55 / $375.92	Professional		$82.81	$136.55	$375.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $125.76 / $317.45	Facility		$47.21	$125.76	$317.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $258.62 / $946.80	Professional		$123.15	$258.62	$946.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $185.43 / $330.04	Facility		$117.85	$185.43	$330.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $146.01 / $330.04	Professional		$106.27	$146.01	$330.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $151.44 / $245.32	Professional		$73.88	$151.44	$245.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $224.15 / $348.68	Professional		$135.47	$224.15	$348.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $114.60 / $304.70	Professional		$93.70	$114.60	$304.70