Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $4,365.16	Facility		$97.72	$97.72	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $371.54	Professional		$97.72	$114.82	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $302.00	Professional		$169.82	$239.88	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $501.19	Facility		$89.13	$165.96	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $2,884.03	Professional		$107.15	$169.82	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $263.03	Professional		$245.47	$251.19	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $218.78	Professional		$128.82	$186.21	$218.78
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 $107.15 / $173.78 / $288.40	Professional		$107.15	$173.78	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $263.03	Professional		$213.80	$263.03	$263.03