Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $255.00 / $300.00	Professional		$240.00	$255.00	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $279.38	Professional		$223.50	$223.50	$279.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $386.10 / $1,139.65	Facility		$74.53	$386.10	$1,139.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $250.00 / $280.00	Professional		$124.22	$250.00	$280.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $87.60 / $343.46	Facility		$74.53	$87.60	$343.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $174.87 / $283.35	Professional		$79.93	$174.87	$283.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $255.00 / $255.00	Professional		$105.00	$255.00	$255.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $275.00	Professional		$250.00	$250.00	$275.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00