Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.99 / $182.64 / $182.64	Facility		$119.99	$182.64	$182.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $184.68 / $321.91	Professional		$134.15	$184.68	$321.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.66 / $377.86 / $567.77	Professional		$296.66	$377.86	$567.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.82 / $286.22 / $466.88	Facility		$160.82	$286.22	$466.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $504.72 / $1,672.81	Professional		$214.94	$504.72	$1,672.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $303.41 / $400.46 / $1,716.91	Facility		$303.41	$400.46	$1,716.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.66 / $357.00 / $475.42	Professional		$296.66	$357.00	$475.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.40 / $285.04 / $368.93	Professional		$193.40	$285.04	$368.93
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 $214.94 / $376.15 / $527.32	Professional		$214.94	$376.15	$527.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $309.30 / $455.90	Professional		$252.80	$309.30	$455.90