Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.72 / $98.01 / $98.01	Facility		$71.72	$98.01	$98.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $91.13 / $98.01	Professional		$66.81	$91.13	$98.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $225.94 / $307.74	Professional		$164.26	$225.94	$307.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.28 / $154.01 / $229.91	Facility		$101.28	$154.01	$229.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $201.92 / $903.00	Professional		$115.38	$201.92	$903.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.55 / $222.62 / $325.36	Facility		$179.55	$222.62	$325.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $199.45 / $255.94	Professional		$148.52	$199.45	$255.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $155.90 / $200.31	Professional		$116.23	$155.90	$200.31
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 $126.06 / $185.50 / $280.45	Professional		$126.06	$185.50	$280.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $185.90 / $249.20	Professional		$151.90	$185.90	$249.20