Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $71.90 / $71.90	Facility		$47.13	$71.90	$71.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $68.53 / $114.10	Professional		$39.79	$68.53	$114.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $134.38 / $201.59	Professional		$99.36	$134.38	$201.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $103.13 / $179.39	Facility		$67.26	$103.13	$179.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $179.39 / $824.00	Professional		$91.73	$179.39	$824.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $149.13 / $194.13	Facility		$104.09	$149.13	$194.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $130.24 / $181.35	Professional		$102.50	$130.24	$181.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $95.15 / $136.50	Professional		$68.97	$95.15	$136.50
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 $85.43 / $133.38 / $208.48	Professional		$85.43	$133.38	$208.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $112.30 / $165.70	Professional		$91.80	$112.30	$165.70