Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $226.57 / $226.57	Facility		$80.09	$226.57	$226.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $117.87 / $226.57	Professional		$76.90	$117.87	$226.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $116.09 / $116.09 / $116.09	Professional	50	$116.09	$116.09	$116.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.21 / $279.33 / $638.86	Professional		$169.21	$279.33	$638.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $272.23 / $382.90	Facility		$115.68	$272.23	$382.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.77 / $459.82 / $1,886.00	Professional		$193.77	$459.82	$1,886.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.78 / $475.99 / $873.61	Facility		$179.78	$475.99	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $384.08 / $558.46	Professional		$170.34	$384.08	$558.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $261.69 / $423.07	Professional		$119.13	$261.69	$423.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.26 / $427.74 / $601.78	Professional		$235.26	$427.74	$601.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $193.90 / $513.50	Professional		$158.50	$193.90	$513.50