Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $44.89 / $67.80	Professional		$25.21	$44.89	$67.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $66.22 / $82.78	Professional		$48.14	$66.22	$82.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $38.86 / $147.18	Facility		$21.78	$38.86	$147.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $101.30 / $217.84	Professional		$34.43	$101.30	$217.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.85 / $76.40 / $88.67	Facility		$61.85	$76.40	$88.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $83.62 / $106.73	Professional		$61.85	$83.62	$106.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $52.86 / $91.67	Professional		$35.29	$52.86	$91.67
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 $38.76 / $67.43 / $140.47	Professional		$38.76	$67.43	$140.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $65.59 / $66.30	Professional		$54.20	$65.59	$66.30