Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.51 / $521.26 / $1,096.35	Facility		$40.51	$521.26	$1,096.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $60.20 / $182.45	Professional		$38.17	$60.20	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $114.92 / $187.96	Professional		$83.54	$114.92	$187.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $92.49 / $152.34	Facility		$57.83	$92.49	$152.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $137.16 / $593.10	Professional		$65.75	$137.16	$593.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.66 / $101.24 / $165.03	Facility		$81.66	$101.24	$165.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $109.29 / $165.03	Professional		$85.90	$109.29	$165.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $80.22 / $127.44	Professional		$64.18	$80.22	$127.44
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 $56.76 / $110.63 / $172.09	Professional		$56.76	$110.63	$172.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $97.40 / $154.69	Professional		$79.59	$97.40	$154.69