Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $194.57 / $296.45	Facility		$81.56	$194.57	$296.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.30 / $16.30 / $38.90	Facility	53	$16.30	$16.30	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $87.90 / $223.99	Professional		$68.20	$87.90	$223.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.05 / $310.95 / $534.66	Professional		$178.05	$310.95	$534.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $228.59 / $408.01	Facility		$115.12	$228.59	$408.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.73 / $405.28 / $1,553.44	Professional		$203.73	$405.28	$1,553.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.73 / $347.98 / $607.96	Facility		$203.73	$347.98	$607.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.44 / $386.16 / $506.82	Professional		$180.44	$386.16	$506.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $249.55 / $355.80	Professional		$135.83	$249.55	$355.80
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.33 / $372.82 / $560.45	Professional		$242.33	$372.82	$560.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $193.90 / $431.90	Professional		$158.50	$193.90	$431.90