Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $426.58 / $1,047.13	Facility		$67.61	$426.58	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $177.83 / $309.03	Professional		$45.71	$177.83	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $269.15 / $371.54	Professional		$107.15	$269.15	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $120.23 / $218.78	Facility		$56.23	$120.23	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $933.25	Professional		$109.65	$245.47	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $281.84	Professional		$102.33	$114.82	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $257.04	Professional		$100.00	$100.00	$257.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $239.88	Professional		$77.62	$128.82	$239.88
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 $58.88 / $134.90 / $309.03	Professional		$58.88	$134.90	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $269.15	Professional		$83.18	$102.33	$269.15