Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $125.95 / $158.82	Facility		$15.65	$125.95	$158.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $24.48 / $42.08	Professional		$12.75	$24.48	$42.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.58 / $58.05 / $82.00	Professional	50	$20.58	$58.05	$82.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.78 / $7.83 / $19.71	Professional	52	$6.78	$7.83	$19.71
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.71 / $3.13 / $7.89	Professional	53	$2.71	$3.13	$7.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $36.61 / $45.77	Professional		$33.28	$36.61	$45.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $22.92 / $41.25	Facility		$15.20	$22.92	$41.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $25.58 / $116.72	Professional		$15.00	$25.58	$116.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $38.57 / $46.92	Facility		$18.69	$38.57	$46.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $31.37 / $40.83	Professional		$26.27	$31.37	$40.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $25.93 / $30.40	Professional		$17.30	$25.93	$30.40
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 $16.59 / $28.40 / $39.79	Professional		$16.59	$28.40	$39.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $34.90 / $36.29	Professional		$29.60	$34.90	$36.29