Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.87 / $268.95 / $268.95	Facility		$104.87	$268.95	$268.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $179.61 / $396.84	Professional		$85.67	$179.61	$396.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.91 / $345.63 / $692.43	Professional		$225.91	$345.63	$692.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.70 / $226.83 / $570.37	Facility		$90.70	$226.83	$570.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $430.25 / $898.72	Professional		$204.92	$430.25	$898.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $450.71 / $626.32	Facility		$225.10	$450.71	$626.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $416.75 / $655.74	Professional		$225.10	$416.75	$655.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.60 / $272.49 / $454.12	Professional		$136.60	$272.49	$454.12
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 $219.24 / $394.28 / $669.28	Professional		$219.24	$394.28	$669.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $225.20 / $541.50	Professional		$216.60	$225.20	$541.50