Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $891.25 / $3,090.30	Facility		$173.78	$891.25	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $323.59	Professional		$50.12	$97.72	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $380.19	Professional		$131.83	$257.04	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $158.49 / $724.44	Facility		$79.43	$158.49	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $954.99	Professional		$109.65	$229.09	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $275.42	Professional		$138.04	$141.25	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $229.09	Professional		$125.89	$125.89	$229.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $251.19	Professional		$97.72	$165.96	$251.19
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 $72.44 / $151.36 / $302.00	Professional		$72.44	$151.36	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $281.84	Professional		$107.15	$131.83	$281.84