Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,348.96 / $3,388.44	Facility		$100.00	$1,348.96	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $316.23	Professional		$100.00	$151.36	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $436.52	Professional		$204.17	$295.12	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $218.78 / $363.08	Facility		$151.36	$218.78	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $1,122.02	Professional		$141.25	$275.42	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $323.59	Professional		$239.88	$245.47	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $309.03	Professional		$223.87	$234.42	$309.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $302.00	Professional		$173.78	$234.42	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $389.05	Professional		$125.89	$218.78	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $363.08	Professional		$208.93	$251.19	$363.08