Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $89.88 / $89.88	Facility		$66.17	$89.88	$89.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $84.79 / $214.49	Professional		$65.40	$84.79	$214.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $188.93 / $261.00	Professional		$137.35	$188.93	$261.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.03 / $132.69 / $240.47	Facility		$95.03	$132.69	$240.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $208.41 / $687.36	Professional		$98.65	$208.41	$687.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $186.70 / $245.94	Facility		$149.77	$186.70	$245.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $187.35 / $245.94	Professional		$138.22	$187.35	$245.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $135.44 / $181.78	Professional		$99.87	$135.44	$181.78
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 $98.65 / $184.64 / $253.74	Professional		$98.65	$184.64	$253.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $163.30 / $220.60	Professional		$133.50	$163.30	$220.60