Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.97 / $84.40 / $84.40	Facility		$50.97	$84.40	$84.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $86.55 / $185.20	Professional		$58.34	$86.55	$185.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $154.85 / $258.08	Professional		$123.88	$154.85	$258.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $124.23 / $217.61	Facility		$74.80	$124.23	$217.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $236.59 / $678.40	Professional		$101.27	$236.59	$678.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.84 / $156.00 / $234.53	Facility		$107.84	$156.00	$234.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $169.02 / $234.53	Professional		$124.45	$169.02	$234.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $129.53 / $174.32	Professional		$90.37	$129.53	$174.32
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 $95.42 / $192.93 / $247.18	Professional		$95.42	$192.93	$247.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $131.90 / $211.40	Professional		$107.80	$131.90	$211.40