Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $2,290.00	Facility		$50.10	$50.10	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $50.10 / $141.66	Professional		$40.90	$50.10	$141.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $118.42 / $148.03	Professional		$108.93	$118.42	$148.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $99.09 / $138.97	Facility		$58.49	$99.09	$138.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $106.15 / $659.20	Professional		$61.73	$106.15	$659.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $121.09 / $168.46	Facility		$81.23	$121.09	$168.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $108.93 / $144.80	Professional		$91.07	$108.93	$144.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $86.72 / $102.86	Professional		$62.06	$86.72	$102.86
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 $61.73 / $99.96 / $153.63	Professional		$61.73	$99.96	$153.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $115.30 / $119.90	Professional		$98.00	$115.30	$119.90