Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $80.14 / $206.14	Facility		$45.61	$80.14	$206.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $153.69 / $153.69 / $153.69	Facility	50	$153.69	$153.69	$153.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $119.95 / $269.10	Professional		$47.00	$119.95	$269.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.45 / $99.45 / $164.63	Professional	50	$99.45	$99.45	$164.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $134.80 / $231.78	Professional		$105.86	$134.80	$231.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $113.79 / $314.91	Facility		$55.59	$113.79	$314.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $216.70 / $647.52	Professional		$98.60	$216.70	$647.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $176.13 / $248.19	Facility		$116.80	$176.13	$248.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $149.44 / $239.17	Professional		$104.81	$149.44	$239.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $116.72 / $203.07	Professional		$69.45	$116.72	$203.07
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 $104.73 / $145.55 / $226.41	Professional		$104.73	$145.55	$226.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $111.10 / $186.70	Professional		$90.80	$111.10	$186.70