Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $81.09 / $267.86	Facility		$42.63	$81.09	$267.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $114.44 / $302.39	Professional		$64.45	$114.44	$302.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.69 / $49.61 / $57.25	Professional	52	$29.69	$49.61	$57.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $202.57 / $334.04	Professional		$152.10	$202.57	$334.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.25 / $158.21 / $283.70	Facility		$89.25	$158.21	$283.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $246.32 / $848.56	Professional		$132.88	$246.32	$848.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $201.67 / $297.20	Facility		$158.00	$201.67	$297.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $203.35 / $297.20	Professional		$135.09	$203.35	$297.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $152.96 / $219.95	Professional		$105.51	$152.96	$219.95
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 $121.81 / $193.60 / $315.22	Professional		$121.81	$193.60	$315.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $151.60 / $246.60	Professional		$123.90	$151.60	$246.60