Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $263.03 / $707.95	Facility		$64.57	$263.03	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $309.03	Professional		$51.29	$117.49	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $338.84	Professional		$117.49	$154.88	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $302.00	Facility		$64.57	$138.04	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $851.14	Professional		$95.50	$208.93	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $251.19	Professional		$123.03	$128.82	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $204.17	Professional		$107.15	$107.15	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $218.78	Professional		$89.13	$154.88	$218.78
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 $72.44 / $134.90 / $269.15	Professional		$72.44	$134.90	$269.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $245.47	Professional		$95.50	$117.49	$245.47