Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $181.97 / $4,365.16	Facility		$134.90	$181.97	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $281.84	Professional		$120.23	$173.78	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $512.86	Professional		$239.88	$389.05	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $407.38	Facility		$190.55	$263.03	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $354.81 / $1,288.25	Professional		$158.49	$354.81	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $407.38	Professional		$288.40	$309.03	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $398.11	Professional		$275.42	$295.12	$398.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $338.84	Professional		$194.98	$257.04	$338.84
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 $154.88 / $263.03 / $478.63	Professional		$154.88	$263.03	$478.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $407.38	Professional		$257.04	$316.23	$407.38