Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $4,365.16	Facility		$75.86	$134.90	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $208.93	Professional		$74.13	$123.03	$208.93
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 $154.88 / $218.78 / $389.05	Professional		$154.88	$218.78	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $323.59	Facility		$112.20	$190.55	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $1,000.00	Professional		$151.36	$295.12	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $323.59	Professional		$169.82	$190.55	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $331.13	Professional		$158.49	$194.98	$331.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $257.04	Professional		$125.89	$186.21	$257.04
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 $104.71 / $190.55 / $371.54	Professional		$104.71	$190.55	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $309.03	Professional		$147.91	$181.97	$309.03