Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $53.70	Facility		$21.88	$25.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $50.12 / $70.79	Professional		$21.88	$50.12	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $165.96	Professional		$56.23	$95.50	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $72.44 / $120.23	Facility		$30.90	$72.44	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $426.58	Professional		$46.77	$89.13	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $123.03	Professional		$54.95	$60.26	$123.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $112.20	Professional		$56.23	$56.23	$112.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $109.65	Professional		$41.69	$74.13	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $131.83	Professional		$37.15	$69.18	$131.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $131.83	Professional		$47.86	$58.88	$131.83