Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $99.39 / $99.39	Facility		$53.00	$99.39	$99.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $99.39 / $198.03	Professional		$53.00	$99.39	$198.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $172.97 / $281.45	Professional		$114.76	$172.97	$281.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $147.18 / $334.26	Facility		$76.15	$147.18	$334.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $241.84 / $1,087.00	Professional		$119.13	$241.84	$1,087.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.24 / $240.96 / $1,123.16	Facility		$135.24	$240.96	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $188.50 / $334.26	Professional		$125.69	$188.50	$334.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $159.38 / $230.92	Professional		$90.73	$159.38	$230.92
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 $102.67 / $179.37 / $342.33	Professional		$102.67	$179.37	$342.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $129.60 / $230.10	Professional		$105.90	$129.60	$230.10