Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.09 / $182.09 / $182.09	Facility		$182.09	$182.09	$182.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $182.09 / $490.23	Professional		$155.50	$182.09	$490.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $415.26 / $519.08	Professional		$319.00	$415.26	$519.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.06 / $316.52 / $503.92	Facility		$246.06	$316.52	$503.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $389.49 / $3,059.50	Professional		$198.15	$389.49	$3,059.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $289.54 / $454.14 / $636.14	Facility		$289.54	$454.14	$636.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $416.75 / $554.85	Professional		$289.54	$416.75	$554.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $343.14 / $403.67	Professional		$238.56	$343.14	$403.67
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 $198.15 / $340.33 / $529.40	Professional		$198.15	$340.33	$529.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $400.50 / $490.00 / $490.00	Professional		$400.50	$490.00	$490.00