Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $436.52 / $4,365.16	Facility		$102.33	$436.52	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $316.23 / $436.52	Professional		$95.50	$316.23	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $707.95 / $1,258.93	Professional		$245.47	$707.95	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $524.81 / $1,122.02	Facility		$128.82	$524.81	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $891.25 / $3,162.28	Professional		$269.15	$891.25	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $1,071.52	Professional		$234.42	$269.15	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $954.99	Professional		$234.42	$234.42	$954.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $812.83	Professional		$177.83	$446.68	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $1,288.25	Professional		$147.91	$316.23	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $912.01	Professional		$190.55	$234.42	$912.01