Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $4,365.16	Facility		$147.91	$147.91	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $331.13	Professional		$147.91	$173.78	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $457.09	Professional		$257.04	$363.08	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $229.09 / $457.09	Facility		$134.90	$229.09	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $1,995.26	Professional		$158.49	$257.04	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $380.19 / $398.11	Professional		$371.54	$380.19	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $331.13	Professional		$194.98	$269.15	$331.13
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 $158.49 / $263.03 / $436.52	Professional		$158.49	$263.03	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $398.11	Professional		$323.59	$398.11	$398.11