Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $97.27 / $97.27	Facility		$45.13	$97.27	$97.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $80.56 / $139.88	Professional		$45.43	$80.56	$139.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $143.56 / $274.63	Professional		$103.62	$143.56	$274.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.79 / $128.63 / $259.47	Facility		$61.79	$128.63	$259.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $264.36 / $711.04	Professional		$120.30	$264.36	$711.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.26 / $151.79 / $258.85	Facility		$112.26	$151.79	$258.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $157.00 / $258.85	Professional		$100.44	$157.00	$258.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $136.49 / $183.07	Professional		$75.89	$136.49	$183.07
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 $120.30 / $191.08 / $276.19	Professional		$120.30	$191.08	$276.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $106.40 / $218.30	Professional		$87.00	$106.40	$218.30