Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $93.80 / $93.80	Facility		$93.80	$93.80	$93.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $93.80 / $104.40	Professional		$84.65	$93.80	$104.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $222.04 / $277.55	Professional		$161.41	$222.04	$277.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $162.02 / $291.77	Facility		$104.86	$162.02	$291.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $205.58 / $1,061.66	Professional		$123.35	$205.58	$1,061.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $238.33 / $331.62	Facility		$161.25	$238.33	$331.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $231.44 / $284.64	Professional		$161.25	$231.44	$284.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $180.43 / $205.71	Professional		$131.88	$180.43	$205.71
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 $124.60 / $205.58 / $286.64	Professional		$124.60	$205.58	$286.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $249.70 / $249.70	Professional		$204.10	$249.70	$249.70