Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $4,365.16	Facility		$52.48	$93.33	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $208.93	Professional		$50.12	$91.20	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $275.42	Professional		$120.23	$154.88	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $131.83 / $239.88	Facility		$66.07	$131.83	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $707.95	Professional		$83.18	$186.21	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $218.78	Professional		$120.23	$131.83	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $194.98	Professional		$117.49	$117.49	$194.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $181.97	Professional		$91.20	$138.04	$181.97
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 / $131.83 / $234.42	Professional		$72.44	$131.83	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $204.17	Professional		$97.72	$120.23	$204.17