Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,187.76 / $9,772.37	Facility		$117.49	$2,187.76	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $134.90 / $1,071.52	Professional		$58.88	$134.90	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $199.53 / $199.53	Professional	50	$154.88	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $346.74	Professional		$128.82	$181.97	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $1,380.38	Facility		$89.13	$165.96	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $239.88 / $1,096.48	Professional		$77.62	$239.88	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $281.84	Professional		$117.49	$158.49	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $269.15	Professional		$109.65	$147.91	$269.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $223.87	Professional		$87.10	$151.36	$223.87
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 $74.13 / $141.25 / $281.84	Professional		$74.13	$141.25	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $275.42	Professional		$123.03	$147.91	$275.42