Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $107.15 / $4,365.16	Facility		$97.72	$107.15	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $190.55	Professional		$93.33	$107.15	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $323.59	Professional		$208.93	$257.04	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $309.03	Facility		$104.71	$165.96	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $1,000.00	Professional		$107.15	$229.09	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $263.03	Professional		$239.88	$245.47	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $245.47	Professional		$229.09	$229.09	$245.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $234.42	Professional		$147.91	$204.17	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $309.03	Professional		$112.20	$199.53	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $257.04	Professional		$194.98	$213.80	$257.04