Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $46.77 / $72.44	Facility		$41.69	$46.77	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $131.83	Professional		$41.69	$67.61	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $223.87	Professional		$104.71	$131.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $169.82	Facility		$56.23	$100.00	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $575.44	Professional		$61.66	$120.23	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $165.96	Professional		$109.65	$109.65	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $144.54	Professional		$100.00	$100.00	$144.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $151.36	Professional		$72.44	$102.33	$151.36
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 $61.66 / $104.71 / $177.83	Professional		$61.66	$104.71	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $177.83	Professional		$89.13	$109.65	$177.83