Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $647.07 / $647.07	Facility		$100.98	$647.07	$647.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $475.83 / $693.70	Professional		$87.96	$475.83	$693.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $261.00 / $2,031.50	Professional		$151.80	$261.00	$2,031.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.93 / $519.95 / $1,467.82	Facility		$107.93	$519.95	$1,467.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.52 / $1,093.68 / $4,916.00	Professional		$601.52	$1,093.68	$4,916.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.47 / $1,210.92 / $1,789.49	Facility		$225.47	$1,210.92	$1,789.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.71 / $814.29 / $1,639.58	Professional		$214.71	$814.29	$1,639.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $660.64 / $1,260.54	Professional		$133.60	$660.64	$1,260.54
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 $617.29 / $1,093.68 / $1,844.97	Professional		$617.29	$1,093.68	$1,844.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $226.10 / $1,674.40	Professional		$217.40	$226.10	$1,674.40