Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $85.11	Professional		$56.23	$63.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $204.17	Professional		$154.88	$162.18	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $181.97	Facility		$85.11	$100.00	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $524.81	Professional		$64.57	$123.03	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $154.88	Professional		$144.54	$154.88	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $138.04	Professional		$91.20	$120.23	$138.04
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 $75.86 / $138.04 / $190.55	Professional		$75.86	$138.04	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $165.96	Professional		$134.90	$158.49	$165.96