Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.24 / $316.70 / $747.33	Facility		$112.24	$316.70	$747.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $72.98 / $226.80	Professional		$22.14	$72.98	$226.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $89.85 / $262.58	Professional		$71.88	$89.85	$262.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $95.16 / $277.06	Facility		$49.44	$95.16	$277.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $98.89 / $651.16	Professional		$64.61	$98.89	$651.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $96.91 / $218.32	Facility		$52.21	$96.91	$218.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $85.02 / $174.15	Professional		$40.76	$85.02	$174.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $105.42 / $190.80	Professional		$57.74	$105.42	$190.80
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 $64.61 / $90.77 / $175.54	Professional		$64.61	$90.77	$175.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $56.00 / $159.40	Professional		$43.70	$56.00	$159.40