Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.81 / $183.84 / $183.84	Facility		$118.81	$183.84	$183.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.41 / $59.41 / $91.92	Facility	52	$59.41	$59.41	$91.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $171.12 / $276.93	Professional		$117.10	$171.12	$276.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.22 / $325.27 / $489.86	Professional		$260.22	$325.27	$489.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $251.61 / $467.24	Facility		$151.27	$251.61	$467.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.78 / $456.73 / $1,280.96	Professional		$199.78	$456.73	$1,280.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.79 / $352.48 / $538.12	Facility		$263.79	$352.48	$538.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $253.28 / $342.33 / $457.56	Professional		$253.28	$342.33	$457.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $246.94 / $331.21	Professional		$169.62	$246.94	$331.21
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 $199.86 / $306.76 / $477.18	Professional		$199.86	$306.76	$477.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $262.39 / $386.00	Professional		$214.50	$262.39	$386.00