Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $4,365.16	Facility		$114.82	$199.53	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $288.40	Professional		$114.82	$190.55	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $616.60	Professional		$288.40	$363.08	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $269.15 / $562.34	Facility		$147.91	$269.15	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $1,513.56	Professional		$181.97	$398.11	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $478.63	Professional		$263.03	$295.12	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $426.58	Professional		$257.04	$257.04	$426.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $398.11	Professional		$199.53	$281.84	$398.11
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 $173.78 / $302.00 / $575.44	Professional		$173.78	$302.00	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $478.63	Professional		$234.42	$288.40	$478.63