Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $4,365.16	Facility		$75.86	$134.90	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $229.09	Professional		$70.79	$114.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $275.42	Professional		$162.18	$223.87	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $229.09	Facility		$79.43	$123.03	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $173.78 / $691.83	Professional		$74.13	$173.78	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Professional		$169.82	$169.82	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $177.83	Professional		$151.36	$151.36	$177.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $181.97	Professional		$93.33	$151.36	$181.97
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 / $144.54 / $229.09	Professional		$77.62	$144.54	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $204.17	Professional		$138.04	$165.96	$204.17