Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $3,090.30 / $4,365.16	Facility		$114.82	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $151.36	Professional		$107.15	$120.23	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $363.08	Professional		$288.40	$295.12	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $354.81	Facility		$154.88	$194.98	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $1,071.52	Professional		$120.23	$234.42	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $302.00	Professional		$275.42	$288.40	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $251.19	Professional		$162.18	$223.87	$251.19
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 $144.54 / $251.19 / $363.08	Professional		$144.54	$251.19	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $302.00	Professional		$245.47	$288.40	$302.00