Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $4,365.16	Facility		$83.18	$91.20	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $158.49	Professional		$75.86	$89.13	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $275.42	Professional		$177.83	$223.87	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $141.25 / $245.47	Facility		$89.13	$141.25	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $758.58	Professional		$87.10	$173.78	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $223.87	Professional		$190.55	$208.93	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $190.55	Professional		$173.78	$173.78	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $194.98	Professional		$114.82	$162.18	$194.98
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 $87.10 / $158.49 / $251.19	Professional		$87.10	$158.49	$251.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $213.80	Professional		$158.49	$173.78	$213.80