Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $4,365.16	Facility		$28.18	$56.23	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $72.44 / $141.25	Professional		$28.84	$72.44	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $169.82	Professional		$64.57	$85.11	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $70.79 / $141.25	Facility		$35.48	$70.79	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $107.15 / $426.58	Professional		$47.86	$107.15	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $125.89	Professional		$64.57	$72.44	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $112.20	Professional		$63.10	$63.10	$112.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $112.20	Professional		$47.86	$81.28	$112.20
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 $37.15 / $72.44 / $138.04	Professional		$37.15	$72.44	$138.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $125.89	Professional		$52.48	$63.10	$125.89