Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $263.03 / $4,365.16	Facility		$93.33	$263.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $575.44	Professional		$87.10	$234.42	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $758.58	Professional		$223.87	$436.52	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $316.23 / $691.83	Facility		$123.03	$316.23	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $1,905.46	Professional		$239.88	$512.86	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $616.60	Professional		$213.80	$239.88	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $562.34	Professional		$213.80	$213.80	$562.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $389.05 / $489.78	Professional		$162.18	$389.05	$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 $131.83 / $281.84 / $741.31	Professional		$131.83	$281.84	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $549.54	Professional		$173.78	$213.80	$549.54