Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.25 / $213.66 / $213.66	Facility		$129.25	$213.66	$213.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $209.80 / $316.47	Professional		$129.25	$209.80	$316.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $389.55 / $629.12	Professional		$226.56	$389.55	$629.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.82 / $290.49 / $563.23	Facility		$166.82	$290.49	$563.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.73 / $457.67 / $1,619.04	Professional		$239.73	$457.67	$1,619.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.39 / $352.73 / $578.02	Facility		$298.39	$352.73	$578.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $362.70 / $578.02	Professional		$277.00	$362.70	$578.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $270.55 / $415.84	Professional		$214.80	$270.55	$415.84
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 $201.38 / $393.73 / $612.47	Professional		$201.38	$393.73	$612.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.10 / $321.89 / $510.40	Professional		$263.10	$321.89	$510.40