Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $120.13 / $120.13	Facility		$28.75	$120.13	$120.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $99.93 / $191.49	Professional		$27.14	$99.93	$191.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $82.78 / $332.09	Professional		$60.18	$82.78	$332.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $143.55 / $290.19	Facility		$41.62	$143.55	$290.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $290.19 / $862.48	Professional		$110.13	$290.19	$862.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $206.75 / $319.80	Facility		$70.97	$206.75	$319.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $191.97 / $314.66	Professional		$62.84	$191.97	$314.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $160.37 / $219.30	Professional		$48.94	$160.37	$219.30
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 $141.09 / $229.52 / $357.03	Professional		$141.09	$229.52	$357.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $69.90 / $266.20	Professional		$57.10	$69.90	$266.20