Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $4,365.16	Facility		$100.00	$199.53	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $346.74	Professional		$95.50	$177.83	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $537.03	Professional		$213.80	$281.84	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $169.82 / $436.52	Facility		$87.10	$169.82	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $2,818.38	Professional		$154.88	$275.42	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $398.11	Professional		$223.87	$223.87	$398.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $346.74	Professional		$158.49	$229.09	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $478.63	Professional		$114.82	$223.87	$478.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $416.87	Professional		$181.97	$218.78	$416.87