Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,041.74	Facility		$100.00	$100.00	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $102.33	Professional		$91.20	$97.72	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $288.40	Professional		$218.78	$229.09	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $141.25 / $275.42	Facility		$120.23	$141.25	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $1,621.81	Professional		$91.20	$181.97	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $245.47	Professional		$204.17	$218.78	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $194.98	Professional		$114.82	$169.82	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $288.40	Professional		$114.82	$194.98	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $229.09	Professional		$190.55	$223.87	$229.09