Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.69 / $176.07 / $176.07	Facility		$95.69	$176.07	$176.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $176.07 / $307.92	Professional		$95.69	$176.07	$307.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $357.54 / $491.81	Professional		$208.73	$357.54	$491.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $281.20 / $629.59	Facility		$136.38	$281.20	$629.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $650.09 / $1,887.63	Professional		$280.80	$650.09	$1,887.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.61 / $370.44 / $539.13	Facility		$209.61	$370.44	$539.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $416.00 / $650.09	Professional		$256.14	$416.00	$650.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.37 / $279.89 / $468.22	Professional		$158.37	$279.89	$468.22
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 $221.99 / $450.24 / $797.22	Professional		$221.99	$450.24	$797.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $226.10 / $399.70	Professional		$184.80	$226.10	$399.70