Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $214.43 / $214.43	Facility		$152.44	$214.43	$214.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $231.00 / $376.92	Professional		$152.44	$231.00	$376.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $486.81 / $664.18	Professional		$383.32	$486.81	$664.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.06 / $334.54 / $561.21	Facility		$203.06	$334.54	$561.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $600.51 / $2,669.86	Professional		$257.20	$600.51	$2,669.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $385.85 / $513.05 / $1,239.49	Facility		$385.85	$513.05	$1,239.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.90 / $438.00 / $578.86	Professional		$371.90	$438.00	$578.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $233.48 / $336.16 / $436.76	Professional		$233.48	$336.16	$436.76
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 $257.20 / $457.24 / $627.40	Professional		$257.20	$457.24	$627.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $394.20 / $537.60	Professional		$322.20	$394.20	$537.60