Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $275.42 / $4,365.16	Facility		$22.91	$275.42	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $77.62	Professional		$21.88	$30.90	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $93.33	Professional		$50.12	$70.79	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $50.12 / $97.72	Facility		$36.31	$50.12	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $81.28 / $831.76	Professional		$35.48	$81.28	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $91.20	Professional		$53.70	$58.88	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $91.20	Professional		$52.48	$56.23	$91.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $69.18	Professional		$39.81	$52.48	$69.18
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 $30.20 / $53.70 / $89.13	Professional		$30.20	$53.70	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $75.86	Professional		$46.77	$57.54	$75.86