Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $794.33	Professional		$181.97	$208.93	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $562.34	Professional		$446.68	$446.68	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $588.84	Facility		$239.88	$281.84	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $1,862.09	Professional		$194.98	$363.08	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $478.63	Professional		$457.09	$467.74	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $426.58	Professional		$281.84	$389.05	$426.58
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	AS	$85.11	$85.11	$85.11
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 $223.87 / $380.19 / $562.34	Professional		$223.87	$380.19	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $524.81	Professional		$426.58	$501.19	$524.81