Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $4,365.16	Facility		$107.15	$112.20	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $239.88	Professional		$91.20	$120.23	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $309.03	Professional		$177.83	$251.19	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $263.03	Facility		$79.43	$131.83	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $1,905.46	Professional		$95.50	$186.21	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $234.42	Professional		$229.09	$229.09	$234.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $208.93	Professional		$109.65	$169.82	$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 $102.33 / $181.97 / $281.84	Professional		$102.33	$181.97	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $239.88	Professional		$190.55	$229.09	$239.88