Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $337.17 / $553.60	Facility		$66.28	$337.17	$553.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $33.14 / $33.14 / $102.79	Facility	52	$33.14	$33.14	$102.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $185.02 / $521.54	Professional		$66.28	$185.02	$521.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.98 / $81.93 / $228.60	Professional	52	$29.98	$81.93	$228.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $182.06 / $554.13	Professional		$143.35	$182.06	$554.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.73 / $184.28 / $539.32	Facility		$84.73	$184.28	$539.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.04 / $522.09 / $1,386.56	Professional		$251.04	$522.09	$1,386.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.74 / $251.70 / $508.68	Facility		$158.74	$251.70	$508.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $287.00 / $508.68	Professional		$140.47	$287.00	$508.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $268.49 / $361.32	Professional		$106.13	$268.49	$361.32
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 $230.12 / $350.66 / $545.47	Professional		$230.12	$350.66	$545.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $145.50 / $429.00	Professional		$118.90	$145.50	$429.00