Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $4,365.16	Facility		$125.89	$125.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $281.84	Professional		$112.20	$151.36	$281.84
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $147.91 / $147.91 / $218.78	Professional	54	$147.91	$147.91	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $371.54	Professional		$213.80	$302.00	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $323.59	Facility		$154.88	$204.17	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $933.25	Professional		$120.23	$251.19	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $281.84	Professional		$251.19	$275.42	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $281.84	Professional		$245.47	$251.19	$281.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $269.15	Professional		$134.90	$208.93	$269.15
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 $134.90 / $223.87 / $346.74	Professional		$134.90	$223.87	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $295.12	Professional		$245.47	$288.40	$295.12