Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $440.25 / $440.25	Facility		$103.52	$440.25	$440.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.76 / $51.76 / $220.13	Facility	52	$51.76	$51.76	$220.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $370.67 / $454.11	Professional		$103.09	$370.67	$454.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.96 / $715.93 / $1,230.98	Professional		$239.96	$715.93	$1,230.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $405.56 / $1,015.64	Facility		$128.93	$405.56	$1,015.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $526.82 / $1,061.82 / $3,161.68	Professional		$526.82	$1,061.82	$3,161.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.42 / $693.86 / $1,219.57	Facility		$268.42	$693.86	$1,219.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $794.67 / $1,219.57	Professional		$233.62	$794.67	$1,219.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $442.91 / $811.21	Professional		$154.82	$442.91	$811.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.48 / $856.26 / $1,331.96	Professional		$553.48	$856.26	$1,331.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $232.90 / $909.70	Professional		$190.30	$232.90	$909.70