Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $106.57 / $106.57	Facility		$35.81	$106.57	$106.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $64.34 / $273.23	Professional		$29.94	$64.34	$273.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $220.90 / $303.85	Professional		$84.13	$220.90	$303.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.29 / $105.24 / $254.71	Facility		$50.29	$105.24	$254.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $248.33 / $784.32	Professional		$91.94	$248.33	$784.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.94 / $147.59 / $259.95	Facility		$91.94	$147.59	$259.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $117.48 / $285.83	Professional		$72.97	$117.48	$285.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $119.28 / $200.54	Professional		$61.04	$119.28	$200.54
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $190.94 / $297.02	Professional		$84.94	$190.94	$297.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $80.50 / $224.90	Professional		$65.80	$80.50	$224.90