Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $154.84 / $154.84	Facility		$47.50	$154.84	$154.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $136.00 / $154.84	Professional		$42.83	$136.00	$154.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $142.47 / $438.24	Professional		$112.19	$142.47	$438.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.53 / $146.09 / $323.51	Facility		$61.53	$146.09	$323.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $303.91 / $1,140.40	Professional		$136.33	$303.91	$1,140.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $231.00 / $380.66	Facility		$125.24	$231.00	$380.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $244.19 / $380.66	Professional		$110.63	$244.19	$380.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $203.06 / $291.75	Professional		$83.58	$203.06	$291.75
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 $148.72 / $258.82 / $402.61	Professional		$148.72	$258.82	$402.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $119.40 / $354.10	Professional		$97.50	$119.40	$354.10