Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $2,290.00	Facility		$94.44	$94.44	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $96.28 / $3,530.20	Professional		$94.44	$96.28	$3,530.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $218.15 / $272.69	Professional		$208.87	$218.15	$272.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.60 / $159.60 / $267.08	Facility		$113.60	$159.60	$267.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $200.78 / $1,509.00	Professional		$120.47	$200.78	$1,509.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $250.40 / $1,311.70	Facility		$170.00	$250.40	$1,311.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $208.87 / $250.40	Professional		$177.88	$208.87	$250.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $162.84 / $185.66	Professional		$121.96	$162.84	$185.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $200.78 / $269.70	Professional		$120.47	$200.78	$269.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $212.90 / $221.40	Professional		$180.90	$212.90	$221.40