Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $380.19 / $4,365.16	Facility		$26.92	$380.19	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $64.57 / $134.90	Professional		$26.92	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $269.15	Professional		$64.57	$81.28	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $190.55	Facility		$34.67	$83.18	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $676.08	Professional		$70.79	$138.04	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $190.55	Professional		$66.07	$70.79	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $165.96	Professional		$61.66	$61.66	$165.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $109.65 / $173.78	Professional		$45.71	$109.65	$173.78
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 $38.90 / $79.43 / $194.98	Professional		$38.90	$79.43	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $194.98	Professional		$50.12	$60.26	$194.98