Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $4,365.16	Facility		$120.23	$199.53	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $354.81	Professional		$123.03	$190.55	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $602.56	Professional		$208.93	$363.08	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $234.42 / $446.68	Facility		$125.89	$234.42	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $1,548.82	Professional		$186.21	$331.13	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $512.86	Professional		$275.42	$316.23	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $416.87	Professional		$257.04	$257.04	$416.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $398.11	Professional		$186.21	$251.19	$398.11
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 / $239.88 / $446.68	Professional		$147.91	$239.88	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63