Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,290.87 / $4,365.16	Facility		$114.82	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $263.03	Professional		$112.20	$131.83	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $346.74	Professional		$194.98	$275.42	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $173.78 / $354.81	Facility		$102.33	$173.78	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $933.25	Professional		$134.90	$199.53	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $288.40 / $309.03	Professional		$281.84	$288.40	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $251.19	Professional		$162.18	$213.80	$251.19
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 $138.04 / $199.53 / $331.13	Professional		$138.04	$199.53	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $302.00	Professional		$251.19	$302.00	$302.00