Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.19 / $41.19 / $53.35	Facility		$41.19	$41.19	$53.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $48.79 / $60.81	Professional		$37.90	$48.79	$60.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $97.71 / $128.24	Professional		$75.79	$97.71	$128.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $69.61 / $130.13	Facility		$36.22	$69.61	$130.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.61 / $312.52	Professional		$56.23	$107.61	$312.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.75 / $97.87 / $122.03	Facility		$82.75	$97.87	$122.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $97.87 / $116.63	Professional		$73.56	$97.87	$116.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $74.27 / $99.62	Professional		$50.38	$74.27	$99.62
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 $54.75 / $101.17 / $119.03	Professional		$54.75	$101.17	$119.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $98.00 / $125.70	Professional		$80.09	$98.00	$125.70