Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,290.87 / $4,365.16	Facility		$112.20	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $190.55	Professional		$112.20	$128.82	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $354.81	Professional		$275.42	$288.40	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $346.74	Facility		$144.54	$186.21	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $1,949.84	Professional		$114.82	$223.87	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $295.12	Professional		$263.03	$275.42	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $239.88	Professional		$165.96	$213.80	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $346.74	Professional		$144.54	$251.19	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $288.40	Professional		$234.42	$275.42	$288.40