Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.86 / $192.86 / $192.86	Facility		$192.86	$192.86	$192.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $192.86 / $322.30	Professional		$165.19	$192.86	$322.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.14 / $444.59 / $550.24	Professional		$440.14	$444.59	$550.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $279.17 / $566.88	Facility		$236.22	$279.17	$566.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.25 / $405.90 / $1,876.09	Professional		$223.25	$405.90	$1,876.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.67 / $504.05 / $674.72	Facility		$315.67	$504.05	$674.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $367.77 / $470.87 / $587.28	Professional		$367.77	$470.87	$587.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $280.79 / $377.52 / $427.60	Professional		$280.79	$377.52	$427.60
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $83.39 / $83.39 / $83.39	Professional	AS	$83.39	$83.39	$83.39
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 $243.54 / $439.40 / $560.55	Professional		$243.54	$439.40	$560.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $424.20 / $499.10 / $519.00	Professional		$424.20	$499.10	$519.00