Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $4,365.16	Facility		$123.03	$181.97	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $398.11	Professional		$117.49	$162.18	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $562.34	Professional		$316.23	$446.68	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $457.09	Facility		$165.96	$251.19	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $269.15 / $1,445.44	Professional		$128.82	$269.15	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $380.19	Professional		$257.04	$275.42	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $275.42	Professional		$239.88	$239.88	$275.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $371.54	Professional		$173.78	$263.03	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $436.52	Professional		$134.90	$263.03	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $446.68	Professional		$257.04	$309.03	$446.68