Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $229.09 / $4,365.16	Facility		$43.65	$229.09	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $165.96 / $302.00	Professional		$38.90	$165.96	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $295.12 / $630.96	Professional		$102.33	$295.12	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $199.53 / $398.11	Facility		$57.54	$199.53	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $794.33	Professional		$147.91	$295.12	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $524.81	Professional		$87.10	$109.65	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $295.12	Professional		$89.13	$89.13	$295.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $218.78 / $398.11	Professional		$72.44	$218.78	$398.11
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 $57.54 / $128.82 / $426.58	Professional		$57.54	$128.82	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $489.78	Professional		$85.11	$104.71	$489.78