Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $4,365.16	Facility		$107.15	$151.36	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $338.84	Professional		$107.15	$154.88	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $457.09	Professional		$229.09	$316.23	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $363.08	Facility		$162.18	$234.42	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $1,174.90	Professional		$151.36	$288.40	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $338.84	Professional		$257.04	$257.04	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $323.59	Professional		$239.88	$251.19	$323.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $316.23	Professional		$181.97	$257.04	$316.23
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 $134.90 / $234.42 / $398.11	Professional		$134.90	$234.42	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $380.19	Professional		$223.87	$275.42	$380.19