Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.55 / $134.55 / $3,511.00	Facility		$134.55	$134.55	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $134.55 / $134.55	Professional		$124.93	$134.55	$134.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $277.36 / $346.70	Professional		$261.58	$277.36	$346.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.41 / $227.39 / $363.85	Facility		$166.41	$227.39	$363.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $261.72 / $2,068.84	Professional		$149.61	$261.72	$2,068.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $352.73 / $4,514.33	Facility		$264.00	$352.73	$4,514.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $290.39 / $364.63	Professional		$241.00	$290.39	$364.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.09 / $226.39 / $258.11	Professional		$169.09	$226.39	$258.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $229.19 / $356.52	Professional		$156.88	$229.19	$356.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $313.20 / $325.70	Professional		$266.20	$313.20	$325.70