Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $540.36 / $581.16	Facility		$38.34	$540.36	$581.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $68.38 / $190.64	Professional		$37.21	$68.38	$190.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.79 / $300.00 / $340.00	Professional	50	$83.79	$300.00	$340.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $108.10 / $165.56	Professional		$78.59	$108.10	$165.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $88.15 / $134.69	Facility		$54.37	$88.15	$134.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $124.14 / $613.73	Professional		$62.26	$124.14	$613.73
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $179.20 / $481.83	Professional	50	$73.20	$179.20	$481.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $95.94 / $143.72	Facility		$61.62	$95.94	$143.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.27 / $103.83 / $143.72	Professional		$80.27	$103.83	$143.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $75.69 / $113.21	Professional		$56.43	$75.69	$113.21
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 $56.50 / $97.65 / $151.90	Professional		$56.50	$97.65	$151.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $91.90 / $137.40	Professional		$75.09	$91.90	$137.40