Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $4,365.16	Facility		$128.82	$169.82	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $295.12	Professional		$128.82	$169.82	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $512.86	Professional		$218.78	$407.38	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $407.38	Facility		$131.83	$213.80	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $1,288.25	Professional		$162.18	$288.40	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $426.58	Professional		$302.00	$338.84	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $338.84	Professional		$263.03	$263.03	$338.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $331.13	Professional		$181.97	$257.04	$331.13
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 $147.91 / $245.47 / $380.19	Professional		$147.91	$245.47	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $407.38	Professional		$263.03	$323.59	$407.38