Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $114.44 / $2,290.00	Facility		$114.44	$114.44	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $114.44 / $120.17	Professional		$102.55	$114.44	$120.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.07 / $276.58 / $345.73	Professional		$201.07	$276.58	$345.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $201.73 / $345.06	Facility		$144.07	$201.73	$345.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $225.36 / $898.24	Professional		$130.03	$225.36	$898.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.70 / $297.77 / $1,544.84	Facility		$182.70	$297.77	$1,544.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $239.72 / $275.60	Professional		$157.75	$239.72	$275.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $75.08	Professional		$57.75	$57.75	$75.08
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 $141.61 / $225.36 / $332.33	Professional		$141.61	$225.36	$332.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,481.30 / $1,481.30 / $1,481.30	Professional		$1,481.30	$1,481.30	$1,481.30