Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $2,290.00	Facility		$211.82	$211.82	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.48 / $211.82 / $230.74	Professional		$191.48	$211.82	$230.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.59 / $505.64 / $632.04	Professional		$367.59	$505.64	$632.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.49 / $382.96 / $645.70	Facility		$221.49	$382.96	$645.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.11 / $441.20 / $1,689.04	Professional		$276.11	$441.20	$1,689.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $359.90 / $598.17 / $1,487.46	Facility		$359.90	$598.17	$1,487.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $541.32 / $607.45	Professional		$359.90	$541.32	$607.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $279.29 / $373.38 / $439.25	Professional		$279.29	$373.38	$439.25
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 $253.10 / $460.18 / $640.86	Professional		$253.10	$460.18	$640.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $435.70 / $533.20 / $533.20	Professional		$435.70	$533.20	$533.20