Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,290.87 / $4,365.16	Facility		$114.82	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $204.17	Professional		$112.20	$128.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $354.81	Professional		$199.53	$281.84	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $194.98 / $346.74	Facility		$102.33	$194.98	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $891.25	Professional		$114.82	$181.97	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $295.12	Professional		$239.88	$275.42	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
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 $117.49 / $169.82 / $316.23	Professional		$117.49	$169.82	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11