Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $245.47 / $4,365.16	Facility		$154.88	$245.47	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $549.54	Professional		$134.90	$239.88	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $724.44	Professional		$354.81	$478.63	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $302.00 / $630.96	Facility		$194.98	$302.00	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $478.63 / $1,819.70	Professional		$213.80	$478.63	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $562.34	Professional		$354.81	$371.54	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $501.19	Professional		$331.13	$331.13	$501.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $478.63	Professional		$263.03	$354.81	$478.63
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 $204.17 / $346.74 / $616.60	Professional		$204.17	$346.74	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $537.03	Professional		$288.40	$354.81	$537.03