Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $75.00 / $75.00	Professional		$62.25	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $70.50 / $88.13	Professional		$70.50	$70.50	$88.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $114.08 / $1,863.16	Facility		$63.20	$114.08	$1,863.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $1,552.63	Professional		$62.50	$62.50	$1,552.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.36 / $1,998.26 / $2,947.37	Facility		$257.36	$1,998.26	$2,947.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $2,189.84 / $4,015.54	Professional		$98.64	$2,189.84	$4,015.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $183.95 / $183.95	Professional		$183.95	$183.95	$183.95
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $68.75	Professional		$62.50	$62.50	$68.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Facility		$57.50	$57.50	$57.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Professional		$57.50	$57.50	$57.50