Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $724.44 / $4,365.16	Facility		$52.48	$724.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $302.00	Professional		$51.29	$85.11	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	50	$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $251.19	Professional		$112.20	$158.49	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $323.59	Facility		$77.62	$131.83	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $1,148.15	Professional		$104.71	$190.55	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $218.78	Professional		$120.23	$131.83	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $323.59	Professional		$117.49	$169.82	$323.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $213.80	Professional		$91.20	$141.25	$213.80
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 $79.43 / $151.36 / $309.03	Professional		$79.43	$151.36	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $204.17	Professional		$107.15	$128.82	$204.17