Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $109.65 / $4,365.16	Facility		$46.77	$109.65	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $165.96	Professional		$44.67	$102.33	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $309.03	Professional		$109.65	$173.78	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $131.83 / $302.00	Facility		$60.26	$131.83	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $794.33	Professional		$100.00	$218.78	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $263.03	Professional		$104.71	$117.49	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $234.42	Professional		$102.33	$102.33	$234.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $199.53	Professional		$79.43	$147.91	$199.53
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 $64.57 / $131.83 / $309.03	Professional		$64.57	$131.83	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $239.88	Professional		$91.20	$112.20	$239.88