Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $4,365.16	Facility		$67.61	$100.00	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $158.49	Professional		$64.57	$93.33	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $302.00	Professional		$125.89	$204.17	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $144.54 / $190.55	Facility		$95.50	$144.54	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $758.58	Professional		$85.11	$154.88	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $223.87	Professional		$134.90	$158.49	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $162.18	Professional		$120.23	$125.89	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $204.17	Professional		$97.72	$138.04	$204.17
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 $72.44 / $134.90 / $229.09	Professional		$72.44	$134.90	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $245.47	Professional		$138.04	$169.82	$245.47