Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $83.92 / $83.92	Facility		$83.92	$83.92	$83.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $83.92 / $83.92	Professional		$76.34	$83.92	$83.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.83 / $494.89 / $609.79	Professional		$487.83	$494.89	$609.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $169.96 / $205.53	Facility		$103.92	$169.96	$205.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $151.33 / $2,336.63	Professional		$86.35	$151.33	$2,336.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.27 / $172.00 / $235.13	Facility		$143.27	$172.00	$235.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $171.15 / $837.10	Professional		$115.04	$171.15	$837.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $139.32 / $139.32	Professional		$139.32	$139.32	$139.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,427.98	Facility		$2,000.00	$2,000.00	$2,427.98
United Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $151.33 / $176.55	Professional		$86.35	$151.33	$176.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $172.70 / $179.60	Professional		$146.80	$172.70	$179.60