Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $436.52 / $4,365.16	Facility		$34.67	$436.52	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $114.82	Professional		$30.90	$38.90	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $97.72	Professional		$74.13	$77.62	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $69.18 / $109.65	Facility		$41.69	$69.18	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $61.66 / $575.44	Professional		$31.62	$61.66	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $81.28	Professional		$72.44	$74.13	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $66.07	Professional		$41.69	$58.88	$66.07
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 $38.02 / $66.07 / $95.50	Professional		$38.02	$66.07	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $77.62	Professional		$63.10	$74.13	$77.62