Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $105.07 / $105.07	Facility		$85.31	$105.07	$105.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $110.34 / $156.34	Professional		$85.66	$110.34	$156.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $145.08 / $145.08 / $180.38	Professional	50	$145.08	$145.08	$180.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $222.82 / $278.52	Professional		$161.99	$222.82	$278.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $122.49 / $298.29	Facility		$64.20	$122.49	$298.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $177.28 / $595.60	Professional		$79.76	$177.28	$595.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.49 / $208.73 / $255.21	Facility		$172.49	$208.73	$255.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $208.37 / $255.21	Professional		$140.69	$208.37	$255.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $150.33 / $203.65	Professional		$94.63	$150.33	$203.65
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 $106.37 / $177.28 / $259.52	Professional		$106.37	$177.28	$259.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $182.80 / $219.10	Professional		$175.80	$182.80	$219.10