Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $41.08 / $581.62	Facility		$38.09	$41.08	$581.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $59.97 / $72.56	Professional		$38.09	$59.97	$72.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $88.04 / $110.05	Professional		$64.00	$88.04	$110.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $51.77 / $150.88	Facility		$31.20	$51.77	$150.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $123.90 / $269.44	Professional		$42.23	$123.90	$269.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $100.00 / $118.89	Facility		$77.87	$100.00	$118.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $102.32 / $130.30	Professional		$82.98	$102.32	$130.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $65.76 / $112.56	Professional		$41.53	$65.76	$112.56
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 $51.99 / $93.13 / $143.93	Professional		$51.99	$93.13	$143.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $82.50 / $87.90	Professional		$71.90	$82.50	$87.90