Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $52.64 / $52.64	Facility		$52.64	$52.64	$52.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $52.64 / $52.64	Professional		$48.38	$52.64	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $99.83 / $123.00	Professional		$98.40	$99.83	$123.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $81.76 / $137.91	Facility		$49.47	$81.76	$137.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $111.50 / $558.82	Professional		$65.65	$111.50	$558.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $121.52 / $143.36	Facility		$111.00	$121.52	$143.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $122.49 / $143.36	Professional		$86.04	$122.49	$143.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $91.37 / $100.87	Professional		$71.59	$91.37	$100.87
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 $65.34 / $100.52 / $117.94	Professional		$65.34	$100.52	$117.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $118.50 / $123.30	Professional		$100.80	$118.50	$123.30