Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $213.59 / $213.59	Facility		$118.80	$213.59	$213.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $200.56 / $221.68	Professional		$113.12	$200.56	$221.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $356.44 / $625.23	Professional		$209.38	$356.44	$625.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $269.01 / $510.54	Facility		$121.18	$269.01	$510.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.48 / $413.39 / $1,608.00	Professional		$231.48	$413.39	$1,608.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $296.49 / $450.71 / $2,389.42	Facility		$296.49	$450.71	$2,389.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $332.68 / $530.57	Professional		$253.00	$332.68	$530.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $179.90 / $268.19 / $413.94	Professional		$179.90	$268.19	$413.94
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 $231.48 / $413.39 / $559.44	Professional		$231.48	$413.39	$559.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $292.89 / $504.90	Professional		$239.40	$292.89	$504.90