Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $1,805.79 / $6,658.80	Facility		$45.87	$1,805.79	$6,658.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $130.87 / $279.89	Professional		$56.89	$130.87	$279.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.97 / $143.47 / $314.56	Professional		$112.97	$143.47	$314.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $138.75 / $228.20	Facility		$67.50	$138.75	$228.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $199.19 / $822.08	Professional		$85.07	$199.19	$822.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.58 / $155.37 / $349.36	Facility		$109.58	$155.37	$349.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $144.66 / $295.83	Professional		$97.05	$144.66	$295.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $114.88 / $210.24	Professional		$80.44	$114.88	$210.24
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 $85.07 / $165.27 / $256.98	Professional		$85.07	$165.27	$256.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $116.50 / $250.70	Professional		$95.20	$116.50	$250.70