Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $148.22 / $148.22	Facility		$62.24	$148.22	$148.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $122.41 / $196.65	Professional		$60.00	$122.41	$196.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $240.72 / $413.90	Professional		$147.22	$240.72	$413.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $167.80 / $362.91	Facility		$75.90	$167.80	$362.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $380.16 / $1,071.76	Professional		$167.84	$380.16	$1,071.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.62 / $219.00 / $375.04	Facility		$157.62	$219.00	$375.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $201.00 / $375.04	Professional		$142.65	$201.00	$375.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $205.46 / $275.58	Professional		$97.43	$205.46	$275.58
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 $113.31 / $255.33 / $397.18	Professional		$113.31	$255.33	$397.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $151.19 / $328.60	Professional		$123.60	$151.19	$328.60