Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.18 / $227.95 / $227.95	Facility		$137.18	$227.95	$227.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $197.65 / $237.70	Professional		$121.52	$197.65	$237.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.18 / $403.18 / $650.54	Professional		$239.18	$403.18	$650.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $297.38 / $606.75	Facility		$142.50	$297.38	$606.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $492.18 / $1,685.04	Professional		$277.38	$492.18	$1,685.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $308.58 / $377.86 / $629.13	Facility		$308.58	$377.86	$629.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $386.72 / $629.13	Professional		$300.00	$386.72	$629.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $293.10 / $434.07	Professional		$204.50	$293.10	$434.07
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 $257.81 / $426.04 / $662.73	Professional		$257.81	$426.04	$662.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $272.10 / $332.90 / $526.90	Professional		$272.10	$332.90	$526.90