Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $4,365.16	Facility		$158.49	$158.49	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $186.21	Professional		$138.04	$177.83	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $426.58	Professional		$338.84	$338.84	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $1,995.26	Facility		$194.98	$251.19	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $1,148.15	Professional		$144.54	$281.84	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $389.05	Professional		$346.74	$346.74	$389.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $309.03	Professional		$199.53	$269.15	$309.03
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 $173.78 / $316.23 / $436.52	Professional		$173.78	$316.23	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $389.05	Professional		$316.23	$371.54	$389.05