Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.76 / $62.12 / $62.12	Facility		$50.76	$62.12	$62.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $74.04 / $109.72	Professional		$58.10	$74.04	$109.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $157.38 / $196.72	Professional		$124.45	$157.38	$196.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.47 / $104.98 / $184.91	Facility		$68.47	$104.98	$184.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $183.55 / $1,520.20	Professional		$83.17	$183.55	$1,520.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $171.07 / $228.73	Facility		$135.22	$171.07	$228.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $148.30 / $178.85	Professional		$124.45	$148.30	$178.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $110.62 / $135.85	Professional		$75.75	$110.62	$135.85
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 $60.74 / $123.28 / $191.77	Professional		$60.74	$123.28	$191.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $131.90 / $162.00	Professional		$107.80	$131.90	$162.00