Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $102.48 / $2,290.00	Facility		$102.48	$102.48	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $102.48 / $334.77	Professional		$88.10	$102.48	$334.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.58 / $237.63 / $297.02	Professional		$217.58	$237.63	$297.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.98 / $173.19 / $270.98	Facility		$125.98	$173.19	$270.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $216.99 / $803.12	Professional		$124.06	$216.99	$803.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $265.62 / $707.92	Facility		$191.00	$265.62	$707.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $217.58 / $306.25	Professional		$183.03	$217.58	$306.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $190.67 / $224.47	Professional		$137.94	$190.67	$224.47
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 $139.07 / $278.88 / $291.37	Professional		$139.07	$278.88	$291.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.70 / $262.00 / $272.50	Professional		$222.70	$262.00	$272.50