Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $97.89 / $97.89	Facility		$58.48	$97.89	$97.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $94.18 / $143.65	Professional		$58.48	$94.18	$143.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $211.29 / $211.29 / $211.29	Professional	50	$211.29	$211.29	$211.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $170.19 / $280.48	Professional		$121.78	$170.19	$280.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $136.15 / $226.63	Facility		$83.98	$136.15	$226.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $219.20 / $2,500.00	Professional		$103.68	$219.20	$2,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $183.54 / $256.92	Facility		$130.28	$183.54	$256.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.32 / $163.02 / $245.01	Professional		$126.32	$163.02	$245.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $134.32 / $188.89	Professional		$95.94	$134.32	$188.89
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 $89.54 / $173.48 / $269.86	Professional		$89.54	$173.48	$269.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $140.60 / $229.30	Professional		$114.90	$140.60	$229.30