Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $295.12 / $4,365.16	Facility		$128.82	$295.12	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $316.23	Professional		$117.49	$234.42	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $794.33	Professional		$288.40	$363.08	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $309.03 / $645.65	Facility		$151.36	$309.03	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $1,995.26	Professional		$204.17	$467.74	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $549.54	Professional		$269.15	$275.42	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $478.63	Professional		$245.47	$245.47	$478.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $512.86	Professional		$204.17	$354.81	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $660.69	Professional		$151.36	$302.00	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $602.56	Professional		$229.09	$281.84	$602.56