Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $3,090.30 / $4,365.16	Facility		$128.82	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $263.03	Professional		$114.82	$134.90	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $407.38	Professional		$245.47	$323.59	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $371.54	Facility		$162.18	$213.80	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $1,445.44	Professional		$120.23	$218.78	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $302.00	Professional		$251.19	$295.12	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $288.40	Professional		$251.19	$251.19	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $295.12	Professional		$147.91	$223.87	$295.12
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 $141.25 / $245.47 / $363.08	Professional		$141.25	$245.47	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $363.08	Professional		$295.12	$346.74	$363.08