Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $3,890.45 / $6,309.57	Facility		$85.11	$3,890.45	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $575.44	Professional		$81.28	$114.82	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $275.42	Professional		$208.93	$218.78	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $2,089.30	Facility		$114.82	$190.55	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $1,513.56	Professional		$91.20	$173.78	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $223.87	Professional		$169.82	$199.53	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $199.53	Professional		$125.89	$173.78	$199.53
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 $107.15 / $186.21 / $275.42	Professional		$107.15	$186.21	$275.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $158.49	Professional		$128.82	$151.36	$158.49