Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.75 / $194.75 / $2,290.00	Facility		$194.75	$194.75	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $194.75 / $208.02	Professional		$176.28	$194.75	$208.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.41 / $468.24 / $585.29	Professional		$340.41	$468.24	$585.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.28 / $305.72 / $568.55	Facility		$176.28	$305.72	$568.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.85 / $394.28 / $1,549.92	Professional		$216.85	$394.28	$1,549.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $305.47 / $513.65 / $1,150.25	Facility		$305.47	$513.65	$1,150.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $459.28 / $572.88	Professional		$244.00	$459.28	$572.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.45 / $342.32 / $418.54	Professional		$220.45	$342.32	$418.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.47 / $394.28 / $573.83	Professional		$220.47	$394.28	$573.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $508.00 / $508.00	Professional		$415.20	$508.00	$508.00