Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.87 / $105.87 / $2,290.00	Facility		$105.87	$105.87	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $105.87 / $105.87	Professional		$97.29	$105.87	$105.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $217.37 / $271.70	Professional		$158.03	$217.37	$271.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.29 / $164.42 / $266.57	Facility		$97.29	$164.42	$266.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $175.57 / $729.92	Professional		$115.78	$175.57	$729.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.29 / $227.33 / $298.24	Facility		$165.29	$227.33	$298.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $216.13 / $258.20	Professional		$165.29	$216.13	$258.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $157.93 / $185.66	Professional		$118.76	$157.93	$185.66
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 $122.95 / $183.76 / $285.85	Professional		$122.95	$183.76	$285.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $234.30 / $234.30	Professional		$191.50	$234.30	$234.30