Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.81 / $213.81 / $2,290.00	Facility		$213.81	$213.81	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.26 / $213.81 / $232.90	Professional		$193.26	$213.81	$232.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.56 / $511.09 / $638.86	Professional		$371.56	$511.09	$638.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.43 / $386.52 / $651.70	Facility		$223.43	$386.52	$651.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.69 / $445.40 / $1,704.64	Professional		$278.69	$445.40	$1,704.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $363.29 / $603.67 / $1,150.25	Facility		$363.29	$603.67	$1,150.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.29 / $546.41 / $613.82	Professional		$363.29	$546.41	$613.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.22 / $376.68 / $443.13	Professional		$282.22	$376.68	$443.13
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 $278.69 / $445.40 / $646.91	Professional		$278.69	$445.40	$646.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $439.60 / $537.90 / $537.90	Professional		$439.60	$537.90	$537.90