Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.73 / $329.32 / $329.32	Facility		$207.73	$329.32	$329.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $323.94 / $356.34	Professional		$207.73	$323.94	$356.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.20 / $626.20 / $966.08	Professional		$364.20	$626.20	$966.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.55 / $480.79 / $865.31	Facility		$257.55	$480.79	$865.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $704.97 / $2,482.80	Professional		$369.27	$704.97	$2,482.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $481.00 / $726.35 / $2,389.42	Facility		$481.00	$726.35	$2,389.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $435.68 / $582.48 / $890.72	Professional		$435.68	$582.48	$890.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $317.35 / $438.77 / $640.87	Professional		$317.35	$438.77	$640.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $625.72 / $940.18	Professional		$369.27	$625.72	$940.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $516.70 / $783.60	Professional		$422.30	$516.70	$783.60