Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $62.05 / $208.88	Professional		$37.28	$62.05	$208.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $86.35 / $96.17	Professional		$69.79	$86.35	$96.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $82.49 / $319.70	Facility		$46.76	$82.49	$319.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $258.51 / $704.68	Professional		$160.93	$258.51	$704.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $130.49 / $301.33	Facility		$86.58	$130.49	$301.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $136.88 / $292.07	Professional		$98.57	$136.88	$292.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $70.36 / $233.24	Professional		$53.05	$70.36	$233.24
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 $54.93 / $219.73 / $268.22	Professional		$54.93	$219.73	$268.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $86.40 / $89.80	Professional		$73.40	$86.40	$89.80