Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $4,365.16	Facility		$75.86	$112.20	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $295.12	Professional		$77.62	$120.23	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $354.81	Professional		$194.98	$245.47	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $309.03	Facility		$102.33	$158.49	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $891.25	Professional		$104.71	$223.87	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $269.15	Professional		$186.21	$199.53	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $239.88	Professional		$173.78	$173.78	$239.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $234.42	Professional		$123.03	$181.97	$234.42
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 $104.71 / $181.97 / $316.23	Professional		$104.71	$181.97	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $275.42	Professional		$158.49	$194.98	$275.42