Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $4,365.16	Facility		$39.81	$79.43	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $123.03	Professional		$38.02	$67.61	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $229.09	Professional		$91.20	$131.83	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $208.93	Facility		$51.29	$97.72	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $3,388.44	Professional		$69.18	$138.04	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $169.82	Professional		$87.10	$104.71	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $131.83	Professional		$87.10	$87.10	$131.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $154.88	Professional		$72.44	$117.49	$154.88
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 $54.95 / $95.50 / $181.97	Professional		$54.95	$95.50	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $173.78	Professional		$77.62	$95.50	$173.78