Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $112.20 / $457.09	Facility		$28.18	$112.20	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $91.20	Professional		$28.18	$45.71	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $125.89	Professional		$56.23	$81.28	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $60.26 / $93.33	Facility		$40.74	$60.26	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $81.28 / $316.23	Professional		$36.31	$81.28	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $93.33	Professional		$63.10	$66.07	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $91.20	Professional		$60.26	$63.10	$91.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $83.18	Professional		$42.66	$63.10	$83.18
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 $34.67 / $60.26 / $109.65	Professional		$34.67	$60.26	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $102.33	Professional		$56.23	$67.61	$102.33