Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $62.56 / $62.56	Facility		$54.73	$62.56	$62.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $50.83 / $62.56	Professional		$44.54	$50.83	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $133.22 / $166.53	Professional		$96.85	$133.22	$166.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $92.49 / $160.34	Facility		$63.98	$92.49	$160.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $132.55 / $3,468.63	Professional		$73.55	$132.55	$3,468.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.22 / $144.63 / $182.49	Facility		$109.22	$144.63	$182.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $129.43 / $155.49	Professional		$109.22	$129.43	$155.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $95.13 / $111.91	Professional		$69.91	$95.13	$111.91
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 $75.30 / $115.84 / $176.79	Professional		$75.30	$115.84	$176.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $118.80 / $133.40	Professional		$97.10	$118.80	$133.40