Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $128.82 / $4,365.16	Facility		$117.49	$128.82	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $229.09	Professional		$104.71	$131.83	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $354.81	Professional		$204.17	$288.40	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $162.18 / $309.03	Facility		$91.20	$162.18	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $1,995.26	Professional		$104.71	$218.78	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $281.84	Professional		$257.04	$257.04	$281.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $234.42	Professional		$125.89	$199.53	$234.42
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 $109.65 / $199.53 / $323.59	Professional		$109.65	$199.53	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $281.84	Professional		$208.93	$251.19	$281.84