Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.99 / $113.46 / $2,359.53	Facility		$49.99	$113.46	$2,359.53
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.00 / $10.00 / $22.69	Facility	53	$10.00	$10.00	$22.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $103.90 / $550.79	Professional		$48.59	$103.90	$550.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $176.48 / $319.43	Professional		$105.12	$176.48	$319.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $140.93 / $311.48	Facility		$71.86	$140.93	$311.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $208.83 / $2,512.54	Professional		$104.72	$208.83	$2,512.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $213.66 / $351.43	Facility		$109.89	$213.66	$351.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $159.87 / $277.54	Professional		$108.26	$159.87	$277.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $141.86 / $212.18	Professional		$83.03	$141.86	$212.18
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $208.83 / $293.36	Professional		$96.00	$208.83	$293.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $118.60 / $257.50	Professional		$96.90	$118.60	$257.50