Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.26 / $83.42 / $83.42	Facility		$50.26	$83.42	$83.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $82.28 / $139.63	Professional		$50.26	$82.28	$139.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $148.03 / $247.36	Professional		$118.42	$148.03	$247.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $126.87 / $210.69	Facility		$64.80	$126.87	$210.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $216.70 / $703.73	Professional		$97.04	$216.70	$703.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $160.58 / $260.72	Facility		$124.16	$160.58	$260.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $160.10 / $214.46	Professional		$116.44	$160.10	$214.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $119.64 / $162.82	Professional		$77.17	$119.64	$162.82
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 $88.96 / $145.55 / $226.41	Professional		$88.96	$145.55	$226.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $125.60 / $203.40	Professional		$102.70	$125.60	$203.40