Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $114.82 / $4,365.16	Facility		$48.98	$114.82	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $114.82 / $281.84	Professional		$48.98	$114.82	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $346.74	Professional		$112.20	$245.47	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $131.83 / $275.42	Facility		$63.10	$131.83	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $870.96	Professional		$95.50	$199.53	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $251.19	Professional		$114.82	$131.83	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $223.87	Professional		$109.65	$109.65	$223.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $223.87	Professional		$85.11	$154.88	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $275.42	Professional		$77.62	$147.91	$275.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $251.19	Professional		$93.33	$112.20	$251.19