Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.48 / $54.48 / $54.48	Facility		$54.48	$54.48	$54.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $54.48 / $54.48	Professional		$50.46	$54.48	$54.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $104.08 / $128.24	Professional		$102.59	$104.08	$128.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $85.28 / $142.63	Facility		$53.32	$85.28	$142.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $117.20 / $588.60	Professional		$66.84	$117.20	$588.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.77 / $127.34 / $147.41	Facility		$114.77	$127.34	$147.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $127.52 / $147.41	Professional		$89.14	$127.52	$147.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $96.77 / $105.59	Professional		$75.84	$96.77	$105.59
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 $70.11 / $107.86 / $123.06	Professional		$70.11	$107.86	$123.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $127.20 / $132.30	Professional		$108.10	$127.20	$132.30