Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $1,905.46 / $4,365.16	Facility		$50.12	$1,905.46	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $162.18	Professional		$50.12	$95.50	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $281.84	Professional		$93.33	$154.88	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $107.15 / $239.88	Facility		$57.54	$107.15	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $724.44	Professional		$102.33	$169.82	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $239.88	Professional		$114.82	$131.83	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $213.80	Professional		$112.20	$112.20	$213.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $181.97	Professional		$87.10	$128.82	$181.97
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 $67.61 / $120.23 / $223.87	Professional		$67.61	$120.23	$223.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $223.87	Professional		$102.33	$125.89	$223.87