Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $4,365.16	Facility		$104.71	$173.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $302.00	Professional		$104.71	$169.82	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $524.81	Professional		$181.97	$323.59	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $194.98 / $426.58	Facility		$107.15	$194.98	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $1,318.26	Professional		$162.18	$288.40	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $436.52	Professional		$239.88	$269.15	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $363.08	Professional		$223.87	$223.87	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $338.84	Professional		$177.83	$223.87	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $389.05	Professional		$125.89	$213.80	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $416.87	Professional		$208.93	$257.04	$416.87