Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $489.78 / $2,290.87	Facility		$100.00	$489.78	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $575.44	Professional		$95.50	$229.09	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $741.31	Professional		$218.78	$309.03	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $588.84	Facility		$128.82	$245.47	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $1,862.09	Professional		$181.97	$371.54	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $501.19	Professional		$199.53	$234.42	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $363.08	Professional		$213.80	$213.80	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $478.63	Professional		$173.78	$281.84	$478.63
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 $131.83 / $245.47 / $549.54	Professional		$131.83	$245.47	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $537.03	Professional		$190.55	$229.09	$537.03