Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $4,365.16	Facility		$107.15	$208.93	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $407.38	Professional		$107.15	$199.53	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $630.96	Professional		$186.21	$323.59	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $204.17 / $467.74	Facility		$97.72	$204.17	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $1,584.89	Professional		$173.78	$323.59	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $524.81	Professional		$251.19	$281.84	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $380.19	Professional		$234.42	$234.42	$380.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $407.38	Professional		$165.96	$251.19	$407.38
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 $128.82 / $229.09 / $457.09	Professional		$128.82	$229.09	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $501.19	Professional		$218.78	$269.15	$501.19