Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,951.21 / $4,168.69	Facility		$114.82	$2,951.21	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $389.05	Professional		$107.15	$158.49	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $501.19	Professional		$263.03	$346.74	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $208.93 / $426.58	Facility		$114.82	$208.93	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $1,258.93	Professional		$147.91	$323.59	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $380.19	Professional		$263.03	$275.42	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $331.13	Professional		$245.47	$245.47	$331.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $331.13	Professional		$173.78	$257.04	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $407.38	Professional		$141.25	$245.47	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $371.54	Professional		$213.80	$263.03	$371.54