Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.79 / $55.02 / $55.02	Facility		$49.79	$55.02	$55.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $83.14 / $110.64	Professional		$49.79	$83.14	$110.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $117.64 / $147.06	Professional		$85.53	$117.64	$147.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $68.50 / $252.03	Facility		$40.53	$68.50	$252.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $171.39 / $383.56	Professional		$58.79	$171.39	$383.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $127.61 / $167.53	Facility		$40.76	$127.61	$167.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $145.01 / $181.89	Professional		$101.16	$145.01	$181.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $86.24 / $158.97	Professional		$53.95	$86.24	$158.97
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 $66.20 / $115.11 / $241.30	Professional		$66.20	$115.11	$241.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $107.20 / $117.20	Professional		$95.80	$107.20	$117.20