Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $42.33 / $2,290.00	Facility		$42.33	$42.33	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $42.33 / $67.53	Professional		$36.43	$42.33	$67.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $97.39 / $121.73	Professional		$88.50	$97.39	$121.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.09 / $72.86 / $190.51	Facility		$52.09	$72.86	$190.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $97.63 / $622.48	Professional		$42.26	$97.63	$622.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $106.06 / $143.91	Facility		$71.26	$106.06	$143.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $106.06 / $146.00	Professional		$81.29	$106.06	$146.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $75.45 / $86.04	Professional		$57.31	$75.45	$86.04
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $81.73 / $127.09	Professional		$45.36	$81.73	$127.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $92.80 / $96.50	Professional		$78.90	$92.80	$96.50