Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $4,365.16	Facility		$75.86	$147.91	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $295.12	Professional		$70.79	$144.54	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $426.58	Professional		$158.49	$223.87	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $323.59	Facility		$109.65	$199.53	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $2,137.96	Professional		$128.82	$194.98	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $309.03	Professional		$173.78	$173.78	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $281.84	Professional		$154.88	$165.96	$281.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $281.84	Professional		$125.89	$181.97	$281.84
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 $93.33 / $177.83 / $363.08	Professional		$93.33	$177.83	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $338.84	Professional		$147.91	$177.83	$338.84