Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $51.48 / $2,290.00	Facility		$51.48	$51.48	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $51.48 / $54.41	Professional		$46.07	$51.48	$54.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $125.44 / $156.79	Professional		$91.19	$125.44	$156.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $91.01 / $155.13	Facility		$65.88	$91.01	$155.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $102.02 / $772.72	Professional		$58.72	$102.02	$772.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.39 / $133.77 / $1,544.84	Facility		$82.39	$133.77	$1,544.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $112.92 / $129.83	Professional		$76.00	$112.92	$129.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $100.10	Professional		$77.00	$77.00	$100.10
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 $58.55 / $96.71 / $150.44	Professional		$58.55	$96.71	$150.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $109.10 / $109.10	Professional		$89.20	$109.10	$109.10