Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $125.89 / $4,365.16	Facility		$47.86	$125.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $117.49 / $213.80	Professional		$46.77	$117.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $371.54	Professional		$117.49	$263.03	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $138.04 / $316.23	Facility		$66.07	$138.04	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $1,000.00	Professional		$102.33	$213.80	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $309.03	Professional		$95.50	$125.89	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $218.78	Professional		$104.71	$104.71	$218.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $239.88	Professional		$74.13	$165.96	$239.88
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 $66.07 / $134.90 / $281.84	Professional		$66.07	$134.90	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $295.12	Professional		$97.72	$120.23	$295.12