Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $1,075.20 / $4,338.00	Facility		$72.12	$1,075.20	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $168.36 / $624.60	Professional		$60.56	$168.36	$624.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $322.27 / $554.13	Professional		$149.04	$322.27	$554.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.35 / $236.90 / $410.98	Facility		$102.35	$236.90	$410.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $350.75 / $2,530.30	Professional		$176.34	$350.75	$2,530.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.52 / $285.07 / $626.73	Facility		$159.52	$285.07	$626.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $323.75 / $450.11	Professional		$150.91	$323.75	$450.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.70 / $245.73 / $368.09	Professional		$116.70	$245.73	$368.09
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 $177.86 / $323.38 / $522.84	Professional		$177.86	$323.38	$522.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $169.60 / $446.80	Professional		$138.60	$169.60	$446.80