Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $4,365.16	Facility		$208.93	$208.93	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $245.47	Professional		$177.83	$229.09	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $537.03	Professional		$436.52	$436.52	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $549.54	Facility		$257.04	$323.59	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $1,479.11	Professional		$186.21	$354.81	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $467.74	Professional		$436.52	$436.52	$467.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $389.05	Professional		$263.03	$363.08	$389.05
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 $239.88 / $398.11 / $549.54	Professional		$239.88	$398.11	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $489.78	Professional		$407.38	$478.63	$489.78