Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.36 / $126.36 / $2,290.00	Facility		$126.36	$126.36	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $126.36 / $126.36	Professional		$104.97	$126.36	$126.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.56 / $283.58 / $354.49	Professional		$283.56	$283.58	$354.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $164.76 / $2,000.00	Facility		$142.53	$164.76	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $156.82 / $344.37	Professional		$116.68	$156.82	$344.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $187.71 / $236.23 / $1,539.34	Facility		$187.71	$236.23	$1,539.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $242.87 / $374.93	Professional		$179.38	$242.87	$374.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $203.46 / $239.35	Professional		$146.74	$203.46	$239.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $239.84 / $344.37	Professional		$131.91	$239.84	$344.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $285.39 / $285.39	Professional		$285.39	$285.39	$285.39