Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $2,421.65 / $4,028.15	Facility		$125.49	$2,421.65	$4,028.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $125.49 / $342.28	Professional		$114.98	$125.49	$342.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.27 / $273.45 / $341.83	Professional		$261.27	$273.45	$341.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.12 / $206.38 / $321.39	Facility		$147.12	$206.38	$321.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $242.68 / $886.56	Professional		$145.61	$242.68	$886.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $307.83 / $2,440.29	Facility		$196.00	$307.83	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $261.27 / $318.27	Professional		$207.00	$261.27	$318.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $203.70 / $232.24	Professional		$138.94	$203.70	$232.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $250.95 / $329.06	Professional		$145.61	$250.95	$329.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $260.30 / $270.70	Professional		$221.20	$260.30	$270.70