Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,290.87 / $4,365.16	Facility		$79.43	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $213.80 / $380.19	Professional		$81.28	$213.80	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $776.25	Professional		$158.49	$281.84	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $575.44	Facility		$100.00	$239.88	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $1,949.84	Professional		$213.80	$398.11	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $645.65	Professional		$199.53	$213.80	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $501.19	Professional		$181.97	$181.97	$501.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $501.19	Professional		$144.54	$281.84	$501.19
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 $112.20 / $239.88 / $562.34	Professional		$112.20	$239.88	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $616.60	Professional		$169.82	$204.17	$616.60