Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $1,254.93 / $12,405.05	Facility		$67.67	$1,254.93	$12,405.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $117.51 / $881.10	Professional		$60.43	$117.51	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $194.78 / $385.65	Professional		$141.60	$194.78	$385.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.89 / $177.02 / $312.61	Facility		$96.89	$177.02	$312.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $274.87 / $1,433.08	Professional		$128.19	$274.87	$1,433.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.53 / $274.87 / $1,123.16	Facility		$154.53	$274.87	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $197.10 / $300.67	Professional		$132.08	$197.10	$300.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $154.46 / $258.11	Professional		$114.38	$154.46	$258.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $233.08 / $318.36	Professional		$116.42	$233.08	$318.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $163.30 / $313.30	Professional		$133.50	$163.30	$313.30