Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $4,365.16	Facility		$134.90	$218.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $263.03	Professional		$125.89	$204.17	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	50	$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $630.96	Professional		$323.59	$398.11	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $275.42 / $562.34	Facility		$173.78	$275.42	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $1,621.81	Professional		$186.21	$398.11	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $309.03 / $489.78	Professional		$302.00	$309.03	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $436.52	Professional		$275.42	$275.42	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $416.87	Professional		$223.87	$309.03	$416.87
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 $177.83 / $316.23 / $575.44	Professional		$177.83	$316.23	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $501.19	Professional		$263.03	$316.23	$501.19