Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $4,365.16	Facility		$173.78	$263.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $549.54	Professional		$131.83	$251.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $794.33	Professional		$398.11	$524.81	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $691.83	Facility		$218.78	$354.81	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $537.03 / $1,995.26	Professional		$234.42	$537.03	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $616.60	Professional		$398.11	$426.58	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $549.54	Professional		$380.19	$380.19	$549.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $524.81	Professional		$302.00	$398.11	$524.81
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 $229.09 / $380.19 / $676.08	Professional		$229.09	$380.19	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $588.84	Professional		$323.59	$398.11	$588.84