Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $83.18 / $4,365.16	Facility		$50.12	$83.18	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $125.89	Professional		$50.12	$77.62	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $251.19	Professional		$120.23	$177.83	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $112.20 / $208.93	Facility		$64.57	$112.20	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $707.95	Professional		$70.79	$154.88	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $190.55	Professional		$117.49	$125.89	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $165.96	Professional		$109.65	$109.65	$165.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $165.96	Professional		$85.11	$117.49	$165.96
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 $69.18 / $120.23 / $218.78	Professional		$69.18	$120.23	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $204.17	Professional		$102.33	$125.89	$204.17