Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $4,365.16	Facility		$72.44	$87.10	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $144.54	Professional		$69.18	$89.13	$144.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	50	$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $245.47	Professional		$138.04	$194.98	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $199.53	Facility		$60.26	$104.71	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $616.60	Professional		$70.79	$147.91	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Professional		$162.18	$162.18	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $158.49	Professional		$87.10	$131.83	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $218.78	Professional		$75.86	$125.89	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $190.55	Professional		$131.83	$158.49	$190.55