Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $234.42 / $4,365.16	Facility		$125.89	$234.42	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $263.03	Professional		$120.23	$186.21	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $630.96	Professional		$281.84	$398.11	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $281.84 / $549.54	Facility		$154.88	$281.84	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $1,621.81	Professional		$186.21	$407.38	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $478.63	Professional		$269.15	$275.42	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $436.52	Professional		$251.19	$251.19	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $416.87	Professional		$199.53	$295.12	$416.87
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 / $302.00 / $575.44	Professional		$154.88	$302.00	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $489.78	Professional		$223.87	$275.42	$489.78