Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $72.30	Facility		$42.11	$42.11	$72.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $66.58 / $92.98	Professional		$42.11	$66.58	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $128.55 / $218.15	Professional		$102.84	$128.55	$218.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $102.95 / $170.28	Facility		$56.07	$102.95	$170.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $167.69 / $576.00	Professional		$71.64	$167.69	$576.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.89 / $130.00 / $190.98	Facility		$90.89	$130.00	$190.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $144.41 / $189.39	Professional		$110.08	$144.41	$189.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $99.79 / $149.60	Professional		$72.45	$99.79	$149.60
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 $78.39 / $125.89 / $195.83	Professional		$78.39	$125.89	$195.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $109.50 / $179.00	Professional		$89.50	$109.50	$179.00