Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $43.03 / $2,290.00	Facility		$43.03	$43.03	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $53.63 / $64.79	Professional		$40.17	$53.63	$64.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $107.52 / $134.38	Professional		$105.38	$107.52	$134.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.44 / $67.89 / $125.08	Facility		$57.44	$67.89	$125.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $94.14 / $550.76	Professional		$51.78	$94.14	$550.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $122.94 / $2,929.96	Facility		$82.00	$122.94	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $105.53 / $127.31	Professional		$87.30	$105.53	$127.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $79.64 / $93.80	Professional		$57.92	$79.64	$93.80
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 $56.48 / $95.20 / $130.40	Professional		$56.48	$95.20	$130.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $107.50 / $111.80	Professional		$91.40	$107.50	$111.80