Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $131.44 / $2,290.00	Facility		$131.44	$131.44	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $162.58 / $864.00	Professional		$131.44	$162.58	$864.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.95 / $345.92 / $432.40	Professional		$320.95	$345.92	$432.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.15 / $376.40 / $1,267.50	Facility		$222.15	$376.40	$1,267.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.26 / $275.02 / $1,992.01	Professional		$151.26	$275.02	$1,992.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $385.94 / $817.55	Facility		$250.00	$385.94	$817.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $320.95 / $453.65	Professional		$228.00	$320.95	$453.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $495.89 / $495.89 / $495.89	Professional		$495.89	$495.89	$495.89
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 $165.01 / $288.77 / $387.94	Professional		$165.01	$288.77	$387.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $496.20 / $583.70 / $607.10	Professional		$496.20	$583.70	$607.10