Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $4,365.16	Facility		$93.33	$125.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $229.09	Professional		$93.33	$131.83	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $354.81	Professional		$181.97	$257.04	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $147.91 / $316.23	Facility		$77.62	$147.91	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $954.99	Professional		$104.71	$213.80	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $281.84	Professional		$213.80	$213.80	$281.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $229.09	Professional		$128.82	$177.83	$229.09
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 $109.65 / $177.83 / $323.59	Professional		$109.65	$177.83	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $275.42	Professional		$165.96	$204.17	$275.42