Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $4,365.16	Facility		$102.33	$154.88	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $380.19	Professional		$97.72	$162.18	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $467.74	Professional		$234.42	$316.23	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $398.11	Facility		$128.82	$194.98	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $295.12 / $1,174.90	Professional		$134.90	$295.12	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $239.88 / $346.74	Professional		$234.42	$239.88	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $302.00	Professional		$213.80	$213.80	$302.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $302.00	Professional		$158.49	$234.42	$302.00
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 $125.89 / $213.80 / $371.54	Professional		$125.89	$213.80	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $338.84	Professional		$190.55	$234.42	$338.84