Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $4,365.16	Facility		$95.50	$165.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $251.19	Professional		$95.50	$151.36	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $467.74	Professional		$199.53	$281.84	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $281.84	Facility		$138.04	$218.78	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $1,230.27	Professional		$169.82	$331.13	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $380.19	Professional		$213.80	$234.42	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $371.54	Professional		$208.93	$229.09	$371.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $309.03	Professional		$162.18	$223.87	$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 $131.83 / $223.87 / $436.52	Professional		$131.83	$223.87	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $371.54	Professional		$190.55	$234.42	$371.54