Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $89.82 / $2,703.13	Facility		$52.81	$89.82	$2,703.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $90.26 / $312.39	Professional		$60.27	$90.26	$312.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $164.25 / $271.70	Professional		$129.33	$164.25	$271.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $127.77 / $214.82	Facility		$77.33	$127.77	$214.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $227.64 / $716.40	Professional		$97.13	$227.64	$716.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $156.16 / $237.51	Facility		$117.86	$156.16	$237.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $165.25 / $223.96	Professional		$135.84	$165.25	$223.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $133.40 / $184.46	Professional		$95.29	$133.40	$184.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $169.97 / $251.24	Professional		$97.13	$169.97	$251.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $136.50 / $221.40	Professional		$111.60	$136.50	$221.40