Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $151.18 / $151.18	Facility		$78.37	$151.18	$151.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $129.62 / $197.75	Professional		$75.50	$129.62	$197.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $232.76 / $439.22	Professional		$176.84	$232.76	$439.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.74 / $211.49 / $391.32	Facility		$108.74	$211.49	$391.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $330.95 / $2,873.06	Professional		$152.11	$330.95	$2,873.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $334.06 / $1,913.58	Facility		$205.70	$334.06	$1,913.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $263.12 / $413.15	Professional		$183.40	$263.12	$413.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $221.38 / $296.93	Professional		$138.57	$221.38	$296.93
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 $131.60 / $248.90 / $418.82	Professional		$131.60	$248.90	$418.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $182.80 / $333.00	Professional		$149.40	$182.80	$333.00