Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $111.43 / $2,290.00	Facility		$111.43	$111.43	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $111.43 / $362.97	Professional		$104.01	$111.43	$362.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.93 / $278.92 / $348.65	Professional		$272.93	$278.92	$348.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.36 / $201.47 / $346.03	Facility		$142.36	$201.47	$346.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $262.44 / $1,939.05	Professional		$157.46	$262.44	$1,939.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $325.80 / $1,311.70	Facility		$222.00	$325.80	$1,311.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $272.93 / $330.58	Professional		$231.77	$272.93	$330.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $210.61 / $242.59	Professional		$157.41	$210.61	$242.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $248.32 / $349.58	Professional		$157.46	$248.32	$349.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.40 / $278.10 / $289.30	Professional		$236.40	$278.10	$289.30