Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $831.76 / $1,621.81	Facility		$61.66	$831.76	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $165.96	Professional		$39.81	$72.44	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $177.83	Professional		$85.11	$117.49	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $95.50 / $162.18	Facility		$60.26	$95.50	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $125.89 / $616.60	Professional		$56.23	$125.89	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $144.54	Professional		$91.20	$100.00	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $141.25	Professional		$89.13	$95.50	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $117.49	Professional		$61.66	$89.13	$117.49
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 $53.70 / $89.13 / $169.82	Professional		$53.70	$89.13	$169.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $141.25	Professional		$79.43	$97.72	$141.25