Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $87.12 / $1,597.50	Facility		$53.98	$87.12	$1,597.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $84.87 / $146.69	Professional		$53.98	$84.87	$146.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $153.87 / $245.42	Professional		$111.86	$153.87	$245.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.13 / $130.60 / $323.76	Facility		$77.13	$130.60	$323.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $226.73 / $1,157.00	Professional		$118.44	$226.73	$1,157.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.62 / $150.79 / $226.91	Facility		$102.62	$150.79	$226.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $174.68 / $263.75	Professional		$120.83	$174.68	$263.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $124.93 / $241.94	Professional		$84.81	$124.93	$241.94
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 $74.23 / $172.42 / $362.05	Professional		$74.23	$172.42	$362.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $130.30 / $202.60	Professional		$106.50	$130.30	$202.60