Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $53.98 / $570.38	Facility		$53.98	$53.98	$570.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $78.79 / $87.43	Professional		$45.79	$78.79	$87.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $124.66 / $155.82	Professional		$123.01	$124.66	$155.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $103.32 / $151.87	Facility		$65.48	$103.32	$151.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $112.20 / $1,794.00	Professional		$67.31	$112.20	$1,794.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $151.00 / $707.92	Facility		$123.01	$151.00	$707.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $129.96 / $166.33	Professional		$114.79	$129.96	$166.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $95.89 / $109.33	Professional		$70.92	$95.89	$109.33
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 $72.70 / $99.72 / $155.12	Professional		$72.70	$99.72	$155.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $127.60 / $132.69	Professional		$108.50	$127.60	$132.69