Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Facility		$207.13	$207.13	$207.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $207.13 / $207.13	Professional		$191.50	$207.13	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.45 / $424.61 / $530.76	Professional		$400.45	$424.61	$530.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.68 / $323.64 / $550.49	Facility		$199.68	$323.64	$550.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.81 / $398.02 / $1,462.40	Professional		$238.81	$398.02	$1,462.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $399.05 / $485.24 / $637.15	Facility		$399.05	$485.24	$637.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $467.49 / $637.15	Professional		$373.53	$467.49	$637.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $262.51 / $343.84 / $392.02	Professional		$262.51	$343.84	$392.02
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 $185.28 / $398.01 / $552.86	Professional		$185.28	$398.01	$552.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $404.40 / $475.70 / $494.70	Professional		$404.40	$475.70	$494.70