Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $4,365.16	Facility		$128.82	$213.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $234.42	Professional		$120.23	$199.53	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $616.60	Professional		$309.03	$416.87	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $269.15 / $537.03	Facility		$158.49	$269.15	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $1,584.89	Professional		$177.83	$389.05	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $288.40 / $467.74	Professional		$281.84	$288.40	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $416.87	Professional		$257.04	$257.04	$416.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $407.38	Professional		$213.80	$295.12	$407.38
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 $162.18 / $302.00 / $549.54	Professional		$162.18	$302.00	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63