Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $159.22 / $159.22	Facility		$126.03	$159.22	$159.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $226.20 / $541.66 / $541.66	Facility	50	$226.20	$541.66	$541.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $129.96 / $256.51	Professional		$103.78	$129.96	$256.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $167.70 / $267.67 / $847.80	Professional	50	$167.70	$267.67	$847.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.12 / $335.79 / $419.74	Professional		$244.12	$335.79	$419.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.46 / $184.67 / $353.84	Facility		$109.46	$184.67	$353.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $280.63 / $876.88	Professional		$128.84	$280.63	$876.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.06 / $312.23 / $390.05	Facility		$159.06	$312.23	$390.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $309.64 / $390.32	Professional		$254.00	$309.64	$390.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $225.77 / $277.52	Professional		$142.76	$225.77	$277.52
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 $162.47 / $295.39 / $418.66	Professional		$162.47	$295.39	$418.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $269.20 / $330.90	Professional		$258.89	$269.20	$330.90