Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $4,365.16	Facility		$64.57	$87.10	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $141.25	Professional		$58.88	$79.43	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $257.04	Professional		$114.82	$186.21	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $125.89 / $204.17	Facility		$91.20	$125.89	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $645.65	Professional		$79.43	$165.96	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $190.55	Professional		$141.25	$151.36	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $186.21	Professional		$125.89	$147.91	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $173.78	Professional		$95.50	$141.25	$173.78
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 $74.13 / $131.83 / $229.09	Professional		$74.13	$131.83	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $208.93	Professional		$128.82	$154.88	$208.93