Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $97.72 / $4,365.16	Facility		$57.54	$97.72	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $229.09	Professional		$57.54	$95.50	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $75.86 / $79.43	Professional	50	$75.86	$75.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $288.40	Professional		$123.03	$169.82	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $147.91 / $288.40	Facility		$81.28	$147.91	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $1,348.96	Professional		$114.82	$223.87	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $257.04	Professional		$128.82	$154.88	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $251.19	Professional		$123.03	$151.36	$251.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $190.55	Professional		$95.50	$158.49	$190.55
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 $81.28 / $144.54 / $275.42	Professional		$81.28	$144.54	$275.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $229.09	Professional		$112.20	$138.04	$229.09