Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.39 / $164.39 / $2,290.00	Facility		$164.39	$164.39	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $164.39 / $451.50	Professional		$138.79	$164.39	$451.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.76 / $372.41 / $465.51	Professional		$350.76	$372.41	$465.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.33 / $234.56 / $410.92	Facility		$167.33	$234.56	$410.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $315.49 / $1,257.76	Professional		$180.64	$315.49	$1,257.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.54 / $417.49 / $538.12	Facility		$284.54	$417.49	$538.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $311.58 / $371.90 / $470.26	Professional		$311.58	$371.90	$470.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $289.94 / $330.57	Professional		$194.62	$289.94	$330.57
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 $183.54 / $315.49 / $490.76	Professional		$183.54	$315.49	$490.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $327.90 / $385.80 / $401.20	Professional		$327.90	$385.80	$401.20