Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $630.96 / $2,290.87	Facility		$36.31	$630.96	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $97.72 / $245.47	Professional		$38.02	$97.72	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $380.19	Professional		$141.25	$177.83	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $117.49 / $239.88	Facility		$51.29	$117.49	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $758.58	Professional		$77.62	$138.04	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $208.93	Professional		$97.72	$102.33	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $186.21	Professional		$93.33	$93.33	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $257.04	Professional		$79.43	$131.83	$257.04
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 $54.95 / $112.20 / $234.42	Professional		$54.95	$112.20	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $309.03	Professional		$125.89	$154.88	$309.03