Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $4,365.16	Facility		$117.49	$199.53	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $223.87	Professional		$102.33	$154.88	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $549.54	Professional		$263.03	$446.68	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $467.74	Facility		$138.04	$245.47	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $1,380.38	Professional		$158.49	$346.74	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $416.87	Professional		$239.88	$245.47	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $371.54	Professional		$218.78	$218.78	$371.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $363.08	Professional		$181.97	$257.04	$363.08
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 $134.90 / $263.03 / $489.78	Professional		$134.90	$263.03	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $416.87	Professional		$208.93	$251.19	$416.87