Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $125.70 / $2,290.00	Facility		$125.70	$125.70	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $125.70 / $169.81	Professional		$116.23	$125.70	$169.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.48 / $257.88 / $322.35	Professional		$187.48	$257.88	$322.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $216.02 / $334.85	Facility		$119.58	$216.02	$334.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $209.76 / $1,743.04	Professional		$124.54	$209.76	$1,743.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.04 / $294.52 / $414.70	Facility		$193.04	$294.52	$414.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $270.02 / $331.47	Professional		$193.04	$270.02	$331.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $210.51 / $240.00	Professional		$148.54	$210.51	$240.00
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 $125.98 / $209.76 / $336.11	Professional		$125.98	$209.76	$336.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $302.89 / $302.89	Professional		$247.50	$302.89	$302.89