Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $219.92 / $219.92	Facility		$94.65	$219.92	$219.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $194.47 / $219.92	Professional		$86.04	$194.47	$219.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $285.35 / $639.84	Professional		$168.85	$285.35	$639.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $279.36 / $636.46	Facility		$118.80	$279.36	$636.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.90 / $381.08 / $1,662.24	Professional		$211.90	$381.08	$1,662.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.12 / $438.83 / $1,156.80	Facility		$253.12	$438.83	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $236.35 / $285.06 / $555.99	Professional		$236.35	$285.06	$555.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.52 / $285.56 / $436.76	Professional		$176.52	$285.56	$436.76
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 $201.54 / $353.16 / $572.40	Professional		$201.54	$353.16	$572.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $252.00 / $530.79	Professional		$206.00	$252.00	$530.79