Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.65 / $214.44 / $214.44	Facility		$118.65	$214.44	$214.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $200.98 / $359.14	Professional		$118.65	$200.98	$359.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $456.66 / $628.15	Professional		$284.33	$456.66	$628.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.99 / $291.81 / $543.19	Facility		$152.99	$291.81	$543.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.64 / $571.51 / $1,611.76	Professional		$251.64	$571.51	$1,611.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $286.51 / $344.05 / $563.51	Facility		$286.51	$344.05	$563.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $376.46 / $563.51	Professional		$262.00	$376.46	$563.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.93 / $308.52 / $416.60	Professional		$178.93	$308.52	$416.60
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 $251.37 / $383.85 / $597.10	Professional		$251.37	$383.85	$597.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $291.30 / $505.70	Professional		$238.10	$291.30	$505.70