Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $41.51 / $41.51	Facility		$41.51	$41.51	$41.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $41.51 / $146.88	Professional		$38.50	$41.51	$146.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $103.87 / $128.55	Professional		$102.83	$103.87	$128.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $75.87 / $132.05	Facility		$55.06	$75.87	$132.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $97.92 / $371.00	Professional		$55.96	$97.92	$371.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $117.34 / $154.35	Facility		$73.20	$117.34	$154.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $109.17 / $134.51	Professional		$86.40	$109.17	$134.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $85.11 / $97.04	Professional		$63.14	$85.11	$97.04
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 $55.96 / $128.21 / $133.94	Professional		$55.96	$128.21	$133.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $111.30 / $115.70	Professional		$94.60	$111.30	$115.70