Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.58 / $240.58 / $3,511.00	Facility		$240.58	$240.58	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $240.58 / $240.58	Professional		$223.84	$240.58	$240.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.99 / $499.40 / $624.25	Professional		$470.99	$499.40	$624.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $406.58 / $680.92	Facility		$260.00	$406.58	$680.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $485.18 / $1,688.72	Professional		$266.85	$485.18	$1,688.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $613.91 / $2,383.04	Facility		$462.00	$613.91	$2,383.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $512.37 / $633.67	Professional		$423.00	$512.37	$633.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $291.91 / $399.45 / $455.42	Professional		$291.91	$399.45	$455.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $466.70 / $624.71	Professional		$266.85	$466.70	$624.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $469.70 / $552.60 / $574.70	Professional		$469.70	$552.60	$574.70