Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $4,365.16	Facility		$74.13	$112.20	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $263.03	Professional		$72.44	$107.15	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $323.59	Professional		$173.78	$229.09	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $288.40	Facility		$95.50	$154.88	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $933.25	Professional		$97.72	$213.80	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $257.04	Professional		$165.96	$186.21	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $229.09	Professional		$162.18	$162.18	$229.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $213.80	Professional		$112.20	$165.96	$213.80
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 $97.72 / $165.96 / $302.00	Professional		$97.72	$165.96	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $251.19	Professional		$141.25	$173.78	$251.19