Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.31 / $142.31 / $2,290.00	Facility		$142.31	$142.31	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $142.31 / $178.87	Professional		$128.55	$142.31	$178.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.79 / $338.13 / $422.66	Professional		$326.79	$338.13	$422.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $240.50 / $394.61	Facility		$183.83	$240.50	$394.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $294.48 / $2,142.87	Professional		$176.69	$294.48	$2,142.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.00 / $388.65 / $1,759.36	Facility		$263.00	$388.65	$1,759.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.54 / $326.79 / $394.34	Professional		$277.54	$326.79	$394.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $247.17 / $290.45	Professional		$185.10	$247.17	$290.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.26 / $396.48 / $414.23	Professional		$193.26	$396.48	$414.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.10 / $339.00 / $352.60	Professional		$288.10	$339.00	$352.60