Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $84.49 / $1,072.46	Facility		$45.36	$84.49	$1,072.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $68.48 / $135.32	Professional		$42.71	$68.48	$135.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $198.81 / $198.81 / $198.81	Professional	50	$198.81	$198.81	$198.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $128.55 / $239.57	Professional		$95.04	$128.55	$239.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $106.04 / $188.70	Facility		$64.27	$106.04	$188.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $169.22 / $618.24	Professional		$78.94	$169.22	$618.24
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $300.00 / $300.00	Professional	50	$300.00	$300.00	$300.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $116.16 / $203.46	Facility		$95.28	$116.16	$203.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $122.96 / $203.46	Professional		$95.28	$122.96	$203.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $112.40 / $161.72	Professional		$76.44	$112.40	$161.72
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 $72.11 / $132.76 / $213.53	Professional		$72.11	$132.76	$213.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $109.10 / $196.30	Professional		$89.20	$109.10	$196.30