Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $4,365.16	Facility		$100.00	$151.36	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $190.55	Professional		$100.00	$141.25	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $489.78	Professional		$263.03	$331.13	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $389.05	Facility		$134.90	$218.78	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $1,584.89	Professional		$138.04	$295.12	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $354.81	Professional		$251.19	$251.19	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $302.00	Professional		$223.87	$223.87	$302.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $316.23	Professional		$165.96	$239.88	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $416.87	Professional		$138.04	$245.47	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $380.19	Professional		$213.80	$263.03	$380.19