Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,290.87 / $4,365.16	Facility		$93.33	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $3,548.13	Professional		$87.10	$97.72	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $281.84	Professional		$213.80	$223.87	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $269.15	Facility		$114.82	$158.49	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $1,513.56	Professional		$89.13	$173.78	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $223.87	Professional		$199.53	$208.93	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $186.21	Professional		$114.82	$162.18	$186.21
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 / $190.55 / $269.15	Professional		$109.65	$190.55	$269.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $223.87	Professional		$181.97	$213.80	$223.87