Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.31 / $202.31 / $3,073.00	Facility		$202.31	$202.31	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $202.31 / $507.20	Professional		$171.16	$202.31	$507.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.11 / $463.56 / $579.46	Professional		$356.11	$463.56	$579.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.50 / $348.09 / $584.34	Facility		$274.50	$348.09	$584.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $456.20 / $1,555.12	Professional		$214.07	$456.20	$1,555.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.87 / $494.40 / $953.00	Facility		$338.87	$494.40	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.87 / $453.66 / $572.88	Professional		$338.87	$453.66	$572.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $265.88 / $364.84 / $415.96	Professional		$265.88	$364.84	$415.96
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 $238.96 / $409.25 / $590.38	Professional		$238.96	$409.25	$590.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $412.60 / $504.90 / $504.90	Professional		$412.60	$504.90	$504.90