Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.13 / $252.30 / $252.30	Facility		$80.13	$252.30	$252.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $126.51 / $252.30	Professional		$80.13	$126.51	$252.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $240.55 / $732.35	Professional		$150.37	$240.55	$732.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.65 / $221.06 / $442.12	Facility		$85.65	$221.06	$442.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $289.45 / $1,871.28	Professional		$146.75	$289.45	$1,871.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $469.08 / $1,156.80	Facility		$187.00	$469.08	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $240.43 / $509.43	Professional		$167.44	$240.43	$509.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $231.50 / $487.76	Professional		$126.36	$231.50	$487.76
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 $148.07 / $275.68 / $403.28	Professional		$148.07	$275.68	$403.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $205.70 / $592.00	Professional		$168.10	$205.70	$592.00