Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.79 / $190.14 / $5,425.92	Facility		$71.79	$190.14	$5,425.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $157.50 / $240.49	Professional		$71.20	$157.50	$240.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $280.93 / $483.04	Professional		$133.81	$280.93	$483.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.67 / $207.69 / $443.66	Facility		$107.67	$207.69	$443.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $438.30 / $1,255.59	Professional		$173.28	$438.30	$1,255.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $313.58 / $455.65	Facility		$165.08	$313.58	$455.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $307.45 / $455.65	Professional		$151.38	$307.45	$455.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $222.21 / $328.63	Professional		$100.32	$222.21	$328.63
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $72.06 / $72.06 / $72.06	Professional	80	$72.06	$72.06	$72.06
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $72.06 / $72.06 / $72.06	Professional	AS	$72.06	$72.06	$72.06
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 $221.56 / $337.18 / $524.50	Professional		$221.56	$337.18	$524.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $169.80 / $414.70	Professional		$138.80	$169.80	$414.70