Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $194.98 / $2,290.87	Facility		$42.66	$194.98	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $165.96	Professional		$38.90	$69.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $208.93	Professional		$97.72	$131.83	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $177.83	Facility		$54.95	$87.10	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $524.81	Professional		$60.26	$138.04	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $154.88	Professional		$97.72	$112.20	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $141.25	Professional		$97.72	$97.72	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $134.90	Professional		$72.44	$102.33	$134.90
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 $57.54 / $97.72 / $173.78	Professional		$57.54	$97.72	$173.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $151.36	Professional		$79.43	$97.72	$151.36