Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $1,097.54 / $1,413.72	Facility		$39.97	$1,097.54	$1,413.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $73.34 / $159.44	Professional		$38.89	$73.34	$159.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $116.87 / $280.48	Professional		$93.49	$116.87	$280.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $117.07 / $288.00	Facility		$49.73	$117.07	$288.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $294.08 / $743.68	Professional		$134.94	$294.08	$743.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.55 / $169.92 / $276.82	Facility		$103.55	$169.92	$276.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $174.00 / $276.82	Professional		$92.43	$174.00	$276.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $140.35 / $188.25	Professional		$69.84	$140.35	$188.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $197.51 / $307.24	Professional		$134.94	$197.51	$307.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $92.10 / $211.10	Professional		$75.30	$92.10	$211.10