Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $3,911.66 / $4,286.54	Facility		$176.45	$3,911.66	$4,286.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $178.21 / $281.79	Professional		$176.45	$178.21	$281.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $177.29 / $219.42	Professional		$175.54	$177.29	$219.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $262.66 / $452.14	Facility		$155.41	$262.66	$452.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $173.02 / $2,475.46	Professional		$155.41	$173.02	$2,475.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.75 / $254.47 / $316.38	Facility		$206.75	$254.47	$316.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.75 / $251.79 / $350.63	Professional		$206.75	$251.79	$350.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $193.09 / $688.97	Professional		$193.09	$193.09	$688.97
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $209.98	Professional		$176.45	$176.45	$209.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $170.08 / $170.08 / $170.08	Facility		$170.08	$170.08	$170.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $170.08	Professional		$170.08	$170.08	$170.08