Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.54 / $765.16 / $975.04	Facility		$68.54	$765.16	$975.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $158.00 / $392.49	Professional		$88.01	$158.00	$392.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $198.67 / $310.67	Professional		$158.66	$198.67	$310.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.18 / $163.06 / $412.35	Facility		$95.18	$163.06	$412.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.01 / $323.57 / $820.00	Professional		$148.01	$323.57	$820.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.67 / $253.72 / $351.43	Facility		$177.67	$253.72	$351.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $233.00 / $356.39	Professional		$158.66	$233.00	$356.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $182.02 / $263.41	Professional		$114.20	$182.02	$263.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $57.78 / $57.78 / $57.78	Professional	AS	$57.78	$57.78	$57.78
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $208.01 / $328.78	Professional		$104.61	$208.01	$328.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $158.10 / $240.10	Professional		$129.19	$158.10	$240.10