Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.57 / $122.57 / $2,290.00	Facility		$122.57	$122.57	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $118.14 / $168.65	Professional		$108.57	$118.14	$168.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.68 / $270.35 / $337.93	Professional		$207.68	$270.35	$337.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.74 / $199.66 / $333.07	Facility		$153.74	$199.66	$333.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $260.93 / $1,634.59	Professional		$127.73	$260.93	$1,634.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.36 / $279.08 / $384.82	Facility		$192.36	$279.08	$384.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $250.71 / $323.67	Professional		$174.00	$250.71	$323.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $877.92 / $877.92 / $877.92	Professional		$877.92	$877.92	$877.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $221.69 / $344.85	Professional		$127.73	$221.69	$344.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $270.10 / $270.10	Professional		$220.80	$270.10	$270.10