Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $154.11 / $154.11	Facility		$70.97	$154.11	$154.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $123.23 / $230.89	Professional		$63.84	$123.23	$230.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $235.06 / $404.16	Professional		$157.38	$235.06	$404.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.25 / $176.22 / $362.27	Facility		$84.25	$176.22	$362.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $382.44 / $1,045.44	Professional		$168.01	$382.44	$1,045.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.28 / $211.01 / $377.84	Facility		$169.28	$211.01	$377.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $206.57 / $377.84	Professional		$149.00	$206.57	$377.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $200.64 / $269.11	Professional		$100.32	$200.64	$269.11
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 $154.01 / $350.03 / $399.56	Professional		$154.01	$350.03	$399.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $156.80 / $313.70	Professional		$128.19	$156.80	$313.70