Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.57 / $258.47 / $4,338.00	Facility		$140.57	$258.47	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $236.74 / $355.50	Professional		$140.57	$236.74	$355.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $419.74 / $748.91	Professional		$246.56	$419.74	$748.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $328.36 / $643.89	Facility		$176.00	$328.36	$643.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.08 / $523.24 / $1,940.40	Professional		$274.08	$523.24	$1,940.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $333.04 / $442.79 / $679.75	Facility		$333.04	$442.79	$679.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $395.12 / $679.75	Professional		$291.00	$395.12	$679.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $327.85 / $499.41	Professional		$213.18	$327.85	$499.41
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 $274.08 / $460.71 / $716.66	Professional		$274.08	$460.71	$716.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $347.10 / $606.20	Professional		$283.70	$347.10	$606.20