Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $92.50 / $92.50	Facility		$92.50	$92.50	$92.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $92.50 / $325.76	Professional		$86.57	$92.50	$325.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.58 / $232.92 / $288.27	Professional		$230.58	$232.92	$288.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $156.33 / $277.16	Facility		$120.00	$156.33	$277.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $211.43 / $796.48	Professional		$120.82	$211.43	$796.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $263.91 / $345.19	Facility		$158.63	$263.91	$345.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $236.34 / $301.45	Professional		$194.16	$236.34	$301.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $184.77 / $217.36	Professional		$133.44	$184.77	$217.36
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 $120.82 / $234.89 / $296.97	Professional		$120.82	$234.89	$296.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $249.20 / $259.20	Professional		$211.80	$249.20	$259.20