Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.27 / $74.48 / $74.48	Facility		$39.27	$74.48	$74.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $66.94 / $114.26	Professional		$43.10	$66.94	$114.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $159.30 / $219.12	Professional		$92.71	$159.30	$219.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.97 / $102.16 / $182.67	Facility		$50.97	$102.16	$182.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $189.88 / $1,375.00	Professional		$84.48	$189.88	$1,375.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $126.17 / $187.80	Facility		$94.47	$126.17	$187.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $126.17 / $186.93	Professional		$94.47	$126.17	$186.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $106.46 / $143.26	Professional		$68.19	$106.46	$143.26
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 $84.48 / $140.80 / $198.38	Professional		$84.48	$140.80	$198.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $97.40 / $178.20	Professional		$79.59	$97.40	$178.20