Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $96.12 / $96.12	Facility		$36.71	$96.12	$96.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $81.23 / $213.16	Professional		$44.28	$81.23	$213.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $174.32 / $370.07	Professional		$139.44	$174.32	$370.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $117.76 / $185.61	Facility		$58.14	$117.76	$185.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $196.17 / $765.52	Professional		$83.77	$196.17	$765.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.80 / $136.60 / $253.40	Facility		$104.80	$136.60	$253.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $141.30 / $240.04	Professional		$98.68	$141.30	$240.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $123.87 / $244.61	Professional		$87.76	$123.87	$244.61
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 $83.77 / $157.79 / $245.28	Professional		$83.77	$157.79	$245.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $155.80 / $307.00	Professional		$127.30	$155.80	$307.00