Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,290.87 / $4,365.16	Facility		$66.07	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $1,230.27	Professional		$66.07	$97.72	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $208.93	Professional		$162.18	$165.96	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $204.17	Facility		$89.13	$112.20	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $1,995.26	Professional		$69.18	$134.90	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $173.78	Professional		$158.49	$162.18	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $144.54	Professional		$93.33	$128.82	$144.54
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 $83.18 / $141.25 / $208.93	Professional		$83.18	$141.25	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $173.78	Professional		$141.25	$165.96	$173.78