Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $65.08 / $2,290.00	Facility		$65.08	$65.08	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $65.08 / $197.20	Professional		$58.82	$65.08	$197.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $155.82 / $194.78	Professional		$151.38	$155.82	$194.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $119.88 / $336.18	Facility		$67.81	$119.88	$336.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $142.06 / $1,301.89	Professional		$85.24	$142.06	$1,301.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $176.82 / $1,759.36	Facility		$115.00	$176.82	$1,759.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $159.19 / $336.00	Professional		$127.35	$159.19	$336.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $114.38 / $134.56	Professional		$85.20	$114.38	$134.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $143.30 / $189.39	Professional		$85.24	$143.30	$189.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $157.00 / $163.30	Professional		$133.50	$157.00	$163.30