Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $22.92 / $54.73	Facility		$22.92	$22.92	$54.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $49.95 / $70.43	Professional		$29.12	$49.95	$70.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $108.14 / $162.63	Professional		$55.32	$108.14	$162.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $71.94 / $117.86	Facility		$30.67	$71.94	$117.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $125.72 / $428.32	Professional		$53.56	$125.72	$428.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $95.00 / $186.68	Facility		$63.15	$95.00	$186.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $96.00 / $144.38	Professional		$55.31	$96.00	$144.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $73.22 / $109.33	Professional		$41.79	$73.22	$109.33
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 $55.31 / $96.35 / $149.88	Professional		$55.31	$96.35	$149.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $58.60 / $130.40	Professional		$47.90	$58.60	$130.40