Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $4,365.16	Facility		$208.93	$323.59	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $575.44	Professional		$218.78	$323.59	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $977.24	Professional		$380.19	$660.69	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $794.33	Facility		$218.78	$407.38	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $2,454.71	Professional		$331.13	$616.60	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $812.83	Professional		$489.78	$562.34	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $691.83	Professional		$478.63	$478.63	$691.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $645.65	Professional		$331.13	$467.74	$645.65
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 $295.12 / $467.74 / $831.76	Professional		$295.12	$467.74	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $776.25	Professional		$436.52	$537.03	$776.25