Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,148.15 / $2,290.87	Facility		$114.82	$1,148.15	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $602.56	Professional		$114.82	$234.42	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $389.05 / $436.52	Professional	50	$380.19	$389.05	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $741.31	Professional		$251.19	$346.74	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $426.58	Facility		$165.96	$302.00	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $1,862.09	Professional		$158.49	$316.23	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $309.03	Professional		$218.78	$229.09	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $295.12	Professional		$134.90	$208.93	$295.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $478.63	Professional		$165.96	$251.19	$478.63
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 $123.03 / $245.47 / $549.54	Professional		$123.03	$245.47	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $588.84	Professional		$234.42	$281.84	$588.84