Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $89.47 / $89.47	Facility		$38.90	$89.47	$89.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $89.47 / $220.68	Professional		$36.32	$89.47	$220.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $113.79 / $253.21	Professional		$81.42	$113.79	$253.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $108.00 / $199.69	Facility		$56.07	$108.00	$199.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $178.12 / $656.16	Professional		$70.56	$178.12	$656.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.89 / $137.59 / $212.95	Facility		$92.89	$137.59	$212.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $116.20 / $210.51	Professional		$86.19	$116.20	$210.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $109.28 / $170.13	Professional		$67.09	$109.28	$170.13
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 $77.33 / $144.90 / $225.40	Professional		$77.33	$144.90	$225.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $95.80 / $206.50	Professional		$78.30	$95.80	$206.50