Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,445.44 / $2,398.83	Facility		$316.23	$1,445.44	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $323.59 / $1,122.02	Professional		$100.00	$323.59	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $912.01	Professional		$245.47	$309.03	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $389.05 / $1,348.96	Facility		$134.90	$389.05	$1,348.96
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	50	$1,479.11	$1,479.11	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $2,818.38	Professional		$263.03	$588.84	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $691.83	Professional		$234.42	$263.03	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $645.65	Professional		$234.42	$234.42	$645.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $588.84	Professional		$177.83	$446.68	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $831.76	Professional		$147.91	$316.23	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $691.83	Professional		$199.53	$239.88	$691.83