Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $257.04	Professional		$75.86	$81.28	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $223.87	Facility		$100.00	$125.89	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $1,862.09	Professional		$77.62	$154.88	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $194.98	Professional		$169.82	$177.83	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $158.49	Professional		$97.72	$138.04	$158.49
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 $93.33 / $158.49 / $234.42	Professional		$93.33	$158.49	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $186.21	Professional		$154.88	$181.97	$186.21