Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $110.38 / $110.38	Facility		$47.33	$110.38	$110.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $92.22 / $142.88	Professional		$40.08	$92.22	$142.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $148.94 / $298.98	Professional		$107.52	$148.94	$298.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $131.87 / $304.66	Facility		$57.57	$131.87	$304.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $262.62 / $796.64	Professional		$130.02	$262.62	$796.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.72 / $171.78 / $289.38	Facility		$116.72	$171.78	$289.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $197.29 / $289.38	Professional		$104.81	$197.29	$289.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $149.03 / $199.89	Professional		$79.19	$149.03	$199.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $307.88 / $321.66	Professional		$154.44	$307.88	$321.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $111.10 / $238.40	Professional		$90.80	$111.10	$238.40