Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $204.12 / $226.24	Facility		$33.31	$204.12	$226.24
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.66 / $16.66 / $113.12	Facility	52	$16.66	$16.66	$113.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $197.71 / $371.41	Professional		$33.56	$197.71	$371.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $333.41 / $643.73	Professional		$72.92	$333.41	$643.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $197.71 / $488.70	Facility		$43.36	$197.71	$488.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.40 / $448.14 / $1,659.04	Professional		$255.40	$448.14	$1,659.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $307.14 / $599.07	Facility		$87.08	$307.14	$599.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $410.60 / $599.07	Professional		$81.52	$410.60	$599.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $232.13 / $425.01	Professional		$54.02	$232.13	$425.01
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 $226.21 / $448.14 / $644.11	Professional		$226.21	$448.14	$644.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $87.90 / $515.90	Professional		$71.90	$87.90	$515.90