Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.40 / $225.23 / $8,738.95	Facility		$138.40	$225.23	$8,738.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $182.27 / $370.15	Professional		$113.53	$182.27	$370.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.69 / $375.92 / $599.91	Professional		$300.69	$375.92	$599.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.69 / $308.04 / $542.75	Facility		$175.69	$308.04	$542.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $564.62 / $1,661.02	Professional		$251.18	$564.62	$1,661.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.38 / $353.00 / $562.75	Facility		$183.38	$353.00	$562.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $391.65 / $562.75	Professional		$293.31	$391.65	$562.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $302.39 / $405.61	Professional		$194.37	$302.39	$405.61
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.94 / $379.22 / $589.90	Professional		$230.94	$379.22	$589.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.30 / $303.89 / $472.80	Professional		$248.30	$303.89	$472.80