Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $4,365.16	Facility		$162.18	$251.19	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $436.52	Professional		$144.54	$239.88	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $741.31	Professional		$371.54	$549.54	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $645.65	Facility		$204.17	$316.23	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $512.86 / $1,905.46	Professional		$223.87	$512.86	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $575.44	Professional		$371.54	$389.05	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $524.81	Professional		$346.74	$346.74	$524.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $489.78	Professional		$275.42	$371.54	$489.78
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 $213.80 / $363.08 / $630.96	Professional		$213.80	$363.08	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $549.54	Professional		$302.00	$371.54	$549.54