Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $4,365.16	Facility		$89.13	$125.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $234.42	Professional		$81.28	$114.82	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $371.54	Professional		$169.82	$263.03	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $275.42	Facility		$128.82	$194.98	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $1,445.44	Professional		$107.15	$204.17	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $229.09	Professional		$177.83	$186.21	$229.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $245.47	Professional		$123.03	$177.83	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $295.12	Professional		$100.00	$173.78	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $295.12	Professional		$177.83	$213.80	$295.12