Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $638.00 / $3,594.73	Facility		$49.56	$638.00	$3,594.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $146.94 / $497.51	Professional		$46.89	$146.94	$497.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $138.29 / $461.62	Professional		$106.23	$138.29	$461.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $200.69 / $342.04	Facility		$66.58	$200.69	$342.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $284.14 / $1,786.65	Professional		$120.40	$284.14	$1,786.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.40 / $248.98 / $528.71	Facility		$120.40	$248.98	$528.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $258.27 / $407.85	Professional		$107.71	$258.27	$407.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $204.76 / $305.33	Professional		$79.42	$204.76	$305.33
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 $172.74 / $274.74 / $433.83	Professional		$172.74	$274.74	$433.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $116.20 / $370.60	Professional		$95.00	$116.20	$370.60