Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $128.12 / $128.12	Facility		$13.72	$128.12	$128.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $24.83 / $133.86	Professional		$13.33	$24.83	$133.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $35.31 / $140.63	Professional		$15.00	$35.31	$140.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $104.51 / $240.39	Facility		$19.37	$104.51	$240.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $220.96 / $813.12	Professional		$87.35	$220.96	$813.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $145.00 / $231.50	Facility		$32.53	$145.00	$231.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $133.00 / $218.70	Professional		$27.64	$133.00	$218.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $134.15 / $191.48	Professional		$23.65	$134.15	$191.48
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 $92.95 / $194.36 / $302.33	Professional		$92.95	$194.36	$302.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $24.40 / $168.00	Professional		$20.10	$24.40	$168.00