Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $169.73 / $3,073.00	Facility		$169.73	$169.73	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $169.73 / $424.40	Professional		$143.47	$169.73	$424.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $387.99 / $484.99	Professional		$298.05	$387.99	$484.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.65 / $294.13 / $393.14	Facility		$208.65	$294.13	$393.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $318.19 / $1,303.68	Professional		$162.27	$318.19	$1,303.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $400.00 / $953.00	Facility		$225.67	$400.00	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.67 / $335.29 / $481.60	Professional		$225.67	$335.29	$481.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $290.23 / $348.03	Professional		$181.64	$290.23	$348.03
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $318.19 / $473.74	Professional		$162.27	$318.19	$473.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.30 / $422.40 / $422.40	Professional		$345.30	$422.40	$422.40