Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $1,648.58 / $3,547.50	Facility		$115.36	$1,648.58	$3,547.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.77 / $167.29 / $400.50	Professional		$102.77	$167.29	$400.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $316.14 / $395.19	Professional		$218.44	$316.14	$395.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.57 / $260.58 / $1,643.00	Facility		$148.57	$260.58	$1,643.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.72 / $332.01 / $1,733.60	Professional		$189.72	$332.01	$1,733.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $227.68 / $331.44 / $472.79	Facility		$227.68	$331.44	$472.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.07 / $306.94 / $414.34	Professional		$223.07	$306.94	$414.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $220.89 / $338.84	Professional		$154.82	$220.89	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.72 / $287.64 / $335.58	Professional		$189.72	$287.64	$335.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $262.10 / $373.90	Professional		$214.20	$262.10	$373.90