Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $1,148.15 / $4,365.16	Facility		$61.66	$1,148.15	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $229.09	Professional		$60.26	$134.90	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $478.63	Professional		$131.83	$251.19	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $194.98 / $331.13	Facility		$87.10	$194.98	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $1,230.27	Professional		$120.23	$194.98	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $302.00	Professional		$138.04	$165.96	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $288.40	Professional		$125.89	$154.88	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $309.03	Professional		$107.15	$162.18	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $371.54	Professional		$83.18	$165.96	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $380.19	Professional		$123.03	$151.36	$380.19