Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,513.56 / $4,365.16	Facility		$107.15	$1,513.56	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $478.63	Professional		$107.15	$138.04	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $436.52	Professional		$281.84	$346.74	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $398.11	Facility		$154.88	$223.87	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $3,019.95	Professional		$138.04	$295.12	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $346.74	Professional		$288.40	$288.40	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $323.59	Professional		$275.42	$275.42	$323.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $309.03	Professional		$190.55	$257.04	$309.03
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 $151.36 / $263.03 / $398.11	Professional		$151.36	$263.03	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $371.54	Professional		$251.19	$302.00	$371.54