Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.54 / $62.54 / $62.54	Facility		$62.54	$62.54	$62.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $72.18 / $79.40	Professional		$58.86	$72.18	$79.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $158.16 / $197.70	Professional		$151.74	$158.16	$197.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $105.69 / $182.61	Facility		$84.17	$105.69	$182.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $138.76 / $519.52	Professional		$83.26	$138.76	$519.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $149.38 / $216.91	Facility		$74.50	$149.38	$216.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $155.03 / $189.76	Professional		$101.00	$155.03	$189.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $118.36 / $137.79	Professional		$87.42	$118.36	$137.79
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 $83.26 / $143.13 / $191.24	Professional		$83.26	$143.13	$191.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $158.00 / $164.30	Professional		$134.30	$158.00	$164.30