Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $562.34 / $2,290.87	Facility		$81.28	$562.34	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $177.83 / $295.12	Professional		$77.62	$177.83	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $549.54	Professional		$190.55	$239.88	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $407.38	Facility		$112.20	$204.17	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $1,096.48	Professional		$173.78	$363.08	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $457.09	Professional		$177.83	$204.17	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $407.38	Professional		$181.97	$181.97	$407.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $354.81	Professional		$134.90	$251.19	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $467.74	Professional		$112.20	$229.09	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $436.52	Professional		$158.49	$194.98	$436.52