Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $66.95 / $2,290.00	Facility		$66.95	$66.95	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $76.98 / $113.78	Professional		$66.95	$76.98	$113.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $163.76 / $203.54	Professional		$162.81	$163.76	$203.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $113.16 / $204.72	Facility		$89.03	$113.16	$204.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $149.82 / $1,995.00	Professional		$89.89	$149.82	$1,995.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.79 / $184.19 / $233.60	Facility		$117.79	$184.19	$233.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $163.76 / $202.96	Professional		$132.00	$163.76	$202.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $127.64 / $145.55	Professional		$92.78	$127.64	$145.55
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 $82.40 / $149.80 / $211.04	Professional		$82.40	$149.80	$211.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $166.90 / $173.60	Professional		$141.90	$166.90	$173.60