Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $4,365.16	Facility		$47.86	$79.43	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $123.03	Professional		$43.65	$69.18	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $239.88	Professional		$112.20	$147.91	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $107.15 / $199.53	Facility		$61.66	$107.15	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $616.60	Professional		$69.18	$151.36	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $162.18	Professional		$109.65	$112.20	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $144.54	Professional		$97.72	$97.72	$144.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $162.18	Professional		$81.28	$114.82	$162.18
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 $64.57 / $109.65 / $190.55	Professional		$64.57	$109.65	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $181.97	Professional		$93.33	$114.82	$181.97