Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $131.83	Professional		$38.90	$42.66	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $75.86 / $131.83	Facility		$54.95	$75.86	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $371.54	Professional		$45.71	$87.10	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $97.72	Professional		$63.10	$85.11	$97.72
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 $51.29 / $89.13 / $128.82	Professional		$51.29	$89.13	$128.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $114.82	Professional		$95.50	$112.20	$114.82