Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $4,365.16	Facility		$38.90	$74.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $112.20	Professional		$38.90	$69.18	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $223.87	Professional		$95.50	$158.49	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $100.00 / $181.97	Facility		$51.29	$100.00	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $1,380.38	Professional		$61.66	$134.90	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $162.18	Professional		$95.50	$97.72	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $144.54	Professional		$87.10	$87.10	$144.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $147.91	Professional		$67.61	$102.33	$147.91
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 $53.70 / $104.71 / $190.55	Professional		$53.70	$104.71	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $177.83	Professional		$79.43	$97.72	$177.83