Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $281.84 / $831.76	Facility		$109.65	$281.84	$831.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	50	$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $151.36	Professional		$33.88	$66.07	$151.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $154.88 / $223.87	Professional	50	$51.29	$154.88	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $162.18	Professional		$74.13	$104.71	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $128.82	Facility		$52.48	$85.11	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $407.38	Professional		$54.95	$104.71	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $114.82	Professional		$85.11	$87.10	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $112.20	Professional		$77.62	$83.18	$112.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $107.15	Professional		$58.88	$77.62	$107.15
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 $43.65 / $77.62 / $138.04	Professional		$43.65	$77.62	$138.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $128.82	Professional		$70.79	$87.10	$128.82