Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.29 / $162.29 / $3,511.00	Facility		$162.29	$162.29	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.65 / $162.29 / $338.77	Professional		$137.65	$162.29	$338.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.48 / $371.63 / $464.54	Professional		$285.48	$371.63	$464.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.73 / $287.55 / $439.36	Facility		$197.73	$287.55	$439.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $338.69 / $3,201.00	Professional		$176.27	$338.69	$3,201.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.77 / $396.23 / $1,089.00	Facility		$252.77	$396.23	$1,089.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.77 / $362.88 / $459.29	Professional		$252.77	$362.88	$459.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $283.75 / $333.80	Professional		$205.00	$283.75	$333.80
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 $176.27 / $304.24 / $473.26	Professional		$176.27	$304.24	$473.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.10 / $405.20 / $405.20	Professional		$331.10	$405.20	$405.20