Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $338.84 / $2,290.87	Facility		$77.62	$338.84	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $269.15 / $676.08	Professional		$77.62	$269.15	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $1,258.93 / $1,258.93	Professional	50	$302.00	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $707.95	Professional		$169.82	$213.80	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $208.93 / $575.44	Facility		$91.20	$208.93	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $436.52 / $1,819.70	Professional		$177.83	$436.52	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $524.81	Professional		$169.82	$181.97	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $467.74	Professional		$165.96	$165.96	$467.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $323.59 / $467.74	Professional		$128.82	$323.59	$467.74
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 $102.33 / $213.80 / $616.60	Professional		$102.33	$213.80	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $549.54	Professional		$144.54	$173.78	$549.54