Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $221.20 / $221.20	Facility		$155.88	$221.20	$221.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $196.02 / $231.60	Professional		$139.72	$196.02	$231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $469.41 / $652.50	Professional		$273.00	$469.41	$652.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $308.60 / $539.64	Facility		$190.49	$308.60	$539.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.06 / $434.64 / $1,672.72	Professional		$229.06	$434.64	$1,672.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $495.35 / $5,269.25	Facility		$315.00	$495.35	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $417.55 / $565.57	Professional		$288.00	$417.55	$565.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $316.98 / $429.15	Professional		$221.87	$316.98	$429.15
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 $227.43 / $410.18 / $646.35	Professional		$227.43	$410.18	$646.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.50 / $384.70 / $529.20	Professional		$314.50	$384.70	$529.20