Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $112.20 / $4,365.16	Facility		$52.48	$112.20	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $275.42	Professional		$51.29	$109.65	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $323.59	Professional		$112.20	$181.97	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $158.49 / $275.42	Facility		$79.43	$158.49	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $851.14	Professional		$125.89	$239.88	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $251.19	Professional		$117.49	$131.83	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $269.15	Professional		$117.49	$138.04	$269.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $208.93	Professional		$85.11	$158.49	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $302.00	Professional		$75.86	$151.36	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $257.04	Professional		$100.00	$123.03	$257.04