Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $4,365.16	Facility		$91.20	$120.23	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $158.49	Professional		$91.20	$114.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $363.08	Professional		$218.78	$275.42	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $316.23	Facility		$123.03	$190.55	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $933.25	Professional		$109.65	$234.42	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $288.40	Professional		$208.93	$234.42	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $251.19	Professional		$204.17	$204.17	$251.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $239.88	Professional		$151.36	$190.55	$239.88
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 $117.49 / $204.17 / $331.13	Professional		$117.49	$204.17	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $295.12	Professional		$186.21	$229.09	$295.12