Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,290.87 / $4,365.16	Facility		$97.72	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $229.09	Professional		$97.72	$112.20	$229.09
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 / $302.00	Facility		$89.13	$165.96	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $1,174.90	Professional		$107.15	$173.78	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $263.03	Professional		$229.09	$251.19	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $204.17	Professional		$134.90	$169.82	$204.17
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 $199.53 / $245.47 / $245.47	Professional		$199.53	$245.47	$245.47