Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $4,365.16	Facility		$204.17	$204.17	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $457.09	Professional		$204.17	$239.88	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $630.96	Professional		$354.81	$501.19	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $645.65	Facility		$186.21	$338.84	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $1,659.59	Professional		$213.80	$354.81	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $549.54	Professional		$512.86	$524.81	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $457.09	Professional		$263.03	$380.19	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $602.56	Professional		$218.78	$363.08	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $549.54	Professional		$446.68	$549.54	$549.54