Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.37 / $184.37 / $184.37	Facility		$184.37	$184.37	$184.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.06 / $184.37 / $184.37	Professional		$170.06	$184.37	$184.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.10 / $378.64 / $473.30	Professional		$357.10	$378.64	$473.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $287.39 / $502.48	Facility		$177.92	$287.39	$502.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.44 / $357.40 / $1,295.83	Professional		$214.44	$357.40	$1,295.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $364.25 / $429.96 / $564.17	Facility		$364.25	$429.96	$564.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.37 / $414.25 / $535.66	Professional		$331.37	$414.25	$535.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $232.24 / $306.39 / $349.33	Professional		$232.24	$306.39	$349.33
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 $222.03 / $374.68 / $491.18	Professional		$222.03	$374.68	$491.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $360.30 / $423.90 / $440.90	Professional		$360.30	$423.90	$440.90