Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.57 / $237.44 / $4,338.00	Facility		$135.57	$237.44	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.57 / $208.77 / $393.30	Professional		$135.57	$208.77	$393.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $493.48 / $678.79	Professional		$314.76	$493.48	$678.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.37 / $352.82 / $594.15	Facility		$173.37	$352.82	$594.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.51 / $532.86 / $2,203.34	Professional		$271.51	$532.86	$2,203.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $347.15 / $532.86 / $1,679.79	Facility		$347.15	$532.86	$1,679.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $306.41 / $445.17 / $629.05	Professional		$306.41	$445.17	$629.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.51 / $340.99 / $457.30	Professional		$231.51	$340.99	$457.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.61 / $428.11 / $665.95	Professional		$241.61	$428.11	$665.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $330.60 / $555.10	Professional		$270.20	$330.60	$555.10