Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $235.88 / $1,846.80	Facility		$83.12	$235.88	$1,846.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $189.37 / $327.52	Professional		$72.40	$189.37	$327.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.29 / $242.49 / $662.24	Professional		$176.29	$242.49	$662.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $281.31 / $481.76	Facility		$120.38	$281.31	$481.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $390.20 / $1,998.00	Professional		$190.45	$390.20	$1,998.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.99 / $462.26 / $1,123.16	Facility		$184.99	$462.26	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $280.63 / $520.49	Professional		$168.76	$280.63	$520.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $271.91 / $437.30	Professional		$122.99	$271.91	$437.30
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 $200.40 / $371.62 / $607.10	Professional		$200.40	$371.62	$607.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $200.20 / $530.79	Professional		$163.60	$200.20	$530.79