Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $4,365.16	Facility		$91.20	$181.97	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $275.42	Professional		$81.28	$154.88	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $537.03	Professional		$208.93	$380.19	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $467.74	Facility		$114.82	$223.87	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $1,348.96	Professional		$162.18	$371.54	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $426.58	Professional		$208.93	$229.09	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $380.19	Professional		$204.17	$204.17	$380.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $346.74	Professional		$158.49	$245.47	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $239.88 / $457.09	Professional		$117.49	$239.88	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $389.05	Professional		$169.82	$208.93	$389.05