Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.86 / $165.86 / $3,073.00	Facility		$165.86	$165.86	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $165.86 / $468.76	Professional		$154.11	$165.86	$468.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.76 / $405.13 / $506.42	Professional		$382.76	$405.13	$506.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.38 / $280.30 / $442.49	Facility		$220.38	$280.30	$442.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.66 / $340.51 / $1,349.84	Professional		$199.66	$340.51	$1,349.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $454.63 / $2,197.38	Facility		$285.00	$454.63	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $392.33 / $490.00	Professional		$302.00	$392.33	$490.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $294.04 / $354.50	Professional		$210.18	$294.04	$354.50
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 $199.66 / $332.76 / $487.26	Professional		$199.66	$332.76	$487.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.50 / $406.50 / $422.70	Professional		$345.50	$406.50	$422.70