Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $66.86 / $2,290.00	Facility		$66.86	$66.86	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $66.86 / $215.15	Professional		$62.13	$66.86	$215.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $167.51 / $209.38	Professional		$163.04	$167.51	$209.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $113.67 / $206.81	Facility		$88.85	$113.67	$206.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $148.96 / $1,656.28	Professional		$89.38	$148.96	$1,656.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $192.98 / $2,197.38	Facility		$131.00	$192.98	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $163.04 / $198.17	Professional		$138.04	$163.04	$198.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $124.74 / $144.91	Professional		$92.98	$124.74	$144.91
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 $89.38 / $147.80 / $206.67	Professional		$89.38	$147.80	$206.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $166.10 / $172.80	Professional		$141.19	$166.10	$172.80