Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $208.93 / $4,365.16	Facility		$67.61	$208.93	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $154.88 / $354.81	Professional		$67.61	$154.88	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $616.60	Professional		$141.25	$208.93	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $194.98 / $501.19	Facility		$70.79	$194.98	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $1,548.82	Professional		$190.55	$316.23	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $512.86	Professional		$141.25	$177.83	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $346.74	Professional		$147.91	$147.91	$346.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $398.11	Professional		$117.49	$251.19	$398.11
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 $91.20 / $194.98 / $457.09	Professional		$91.20	$194.98	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $489.78	Professional		$141.25	$169.82	$489.78