Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $9,673.40 / $9,673.40	Facility		$106.33	$9,673.40	$9,673.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $107.40 / $164.61	Professional		$106.33	$107.40	$164.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $108.34 / $108.34	Facility		$108.34	$108.34	$108.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $166.69 / $208.36	Professional		$146.69	$166.69	$208.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.04 / $229.91 / $372.75	Facility		$136.04	$229.91	$372.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $151.44 / $1,358.07	Professional		$136.04	$151.44	$1,358.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.22 / $203.33 / $318.54	Facility		$176.22	$203.33	$318.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $196.32 / $243.95	Professional		$163.25	$196.32	$243.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $117.48 / $117.48	Professional		$117.48	$117.48	$117.48
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $112.71 / $135.55	Professional		$106.33	$112.71	$135.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $136.04 / $136.04 / $136.04	Facility		$136.04	$136.04	$136.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $136.04 / $136.04	Professional		$136.04	$136.04	$136.04