Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $239.88 / $4,365.16	Facility		$15.14	$239.88	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $602.56	Professional		$199.53	$239.88	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $707.95	Professional		$371.54	$562.34	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $371.54 / $602.56	Facility		$288.40	$371.54	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $489.78 / $2,344.23	Professional		$213.80	$489.78	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $549.54	Professional		$467.74	$489.78	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $467.74 / $524.81	Professional		$436.52	$467.74	$524.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $457.09	Professional		$281.84	$389.05	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $660.69	Professional		$239.88	$416.87	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $562.34	Professional		$407.38	$501.19	$562.34