Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $72.03 / $72.03	Facility		$72.03	$72.03	$72.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $72.03 / $80.09	Professional		$65.15	$72.03	$80.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $171.40 / $214.25	Professional		$124.61	$171.40	$214.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $121.73 / $223.98	Facility		$81.13	$121.73	$223.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $151.10 / $584.88	Professional		$94.33	$151.10	$584.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.33 / $184.77 / $255.51	Facility		$123.33	$184.77	$255.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $179.03 / $218.58	Professional		$123.33	$179.03	$218.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $138.66 / $159.13	Professional		$102.54	$138.66	$159.13
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 $96.69 / $141.37 / $219.91	Professional		$96.69	$141.37	$219.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $193.20 / $193.20	Professional		$157.90	$193.20	$193.20