Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $389.05 / $2,290.87	Facility		$67.61	$389.05	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $245.47	Professional		$66.07	$131.83	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $407.38	Professional		$162.18	$199.53	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $199.53 / $363.08	Facility		$95.50	$199.53	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $1,174.90	Professional		$123.03	$263.03	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $309.03	Professional		$162.18	$169.82	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $281.84	Professional		$154.88	$154.88	$281.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $275.42	Professional		$123.03	$229.09	$275.42
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 $95.50 / $181.97 / $354.81	Professional		$95.50	$181.97	$354.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $309.03	Professional		$131.83	$162.18	$309.03