Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $191.97 / $5,933.32	Facility		$97.74	$191.97	$5,933.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $182.03 / $303.94	Professional		$118.29	$182.03	$303.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $312.61 / $534.66	Professional		$240.17	$312.61	$534.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.81 / $254.63 / $587.15	Facility		$149.81	$254.63	$587.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.22 / $469.70 / $1,376.88	Professional		$184.22	$469.70	$1,376.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.31 / $306.00 / $505.97	Facility		$214.31	$306.00	$505.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $341.00 / $505.97	Professional		$237.46	$341.00	$505.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $273.44 / $375.39	Professional		$159.16	$273.44	$375.39
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $338.18 / $547.42	Professional		$174.31	$338.18	$547.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $239.40 / $401.10	Professional		$195.60	$239.40	$401.10