Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $338.84 / $4,365.16	Facility		$134.90	$338.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $288.40 / $933.25	Professional		$123.03	$288.40	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $891.25	Professional		$302.00	$501.19	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $776.25	Facility		$165.96	$323.59	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $2,238.72	Professional		$257.04	$575.44	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $691.83	Professional		$281.84	$281.84	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $630.96	Professional		$257.04	$257.04	$630.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $575.44	Professional		$213.80	$426.58	$575.44
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 $158.49 / $346.74 / $831.76	Professional		$158.49	$346.74	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $676.08	Professional		$239.88	$295.12	$676.08