Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $1,617.48 / $2,290.00	Facility		$268.00	$1,617.48	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $241.81 / $788.40	Professional		$102.65	$241.81	$788.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.92 / $440.09 / $756.70	Professional		$223.92	$440.09	$756.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.87 / $349.59 / $1,303.02	Facility		$150.87	$349.59	$1,303.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.01 / $580.22 / $1,955.60	Professional		$253.01	$580.22	$1,955.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.79 / $565.54 / $873.61	Facility		$251.79	$565.54	$873.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.74 / $375.48 / $650.16	Professional		$224.74	$375.48	$650.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $310.94 / $501.99	Professional		$154.82	$310.94	$501.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.98 / $521.14 / $733.24	Professional		$272.98	$521.14	$733.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $252.00 / $609.29	Professional		$206.00	$252.00	$609.29