Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.61 / $82.52 / $82.52	Facility		$66.61	$82.52	$82.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $95.00 / $135.88	Professional		$75.76	$95.00	$135.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $209.38 / $262.95	Professional		$163.04	$209.38	$262.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.12 / $130.06 / $237.64	Facility		$90.12	$130.06	$237.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $236.75 / $675.12	Professional		$108.16	$236.75	$675.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $189.63 / $231.85	Facility		$97.07	$189.63	$231.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $182.62 / $231.85	Professional		$151.00	$182.62	$231.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $144.91 / $179.19	Professional		$94.28	$144.91	$179.19
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 $108.16 / $159.01 / $247.35	Professional		$108.16	$159.01	$247.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $172.80 / $213.70	Professional		$141.19	$172.80	$213.70