Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $177.83 / $3,630.78	Facility		$22.91	$177.83	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $97.72	Professional		$19.95	$37.15	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $114.82	Professional		$54.95	$69.18	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $107.15	Facility		$29.51	$47.86	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $295.12	Professional		$36.31	$79.43	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $93.33	Professional		$53.70	$60.26	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $85.11	Professional		$54.95	$54.95	$85.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $77.62	Professional		$40.74	$58.88	$77.62
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 $31.62 / $54.95 / $100.00	Professional		$31.62	$54.95	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $87.10	Professional		$43.65	$53.70	$87.10