Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $112.75 / $2,290.00	Facility		$112.75	$112.75	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $112.75 / $356.36	Professional		$94.81	$112.75	$356.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.82 / $256.32 / $320.39	Professional		$251.82	$256.32	$320.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.58 / $190.55 / $321.97	Facility		$135.58	$190.55	$321.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $237.69 / $1,131.01	Professional		$141.94	$237.69	$1,131.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $237.72 / $285.45 / $359.77	Facility		$237.72	$285.45	$359.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $258.00 / $318.76	Professional		$230.00	$258.00	$318.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $196.32 / $223.83	Professional		$156.55	$196.32	$223.83
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $232.34 / $334.21	Professional		$141.94	$232.34	$334.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $261.20 / $271.70	Professional		$222.00	$261.20	$271.70