Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.67 / $231.37 / $231.37	Facility		$170.67	$231.37	$231.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $196.43 / $231.37	Professional		$170.67	$196.43	$231.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.11 / $522.00 / $698.27	Professional		$406.11	$522.00	$698.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.80 / $359.11 / $509.75	Facility		$234.80	$359.11	$509.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.77 / $405.19 / $3,162.00	Professional		$228.77	$405.19	$3,162.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $335.00 / $558.70 / $2,865.77	Facility		$335.00	$558.70	$2,865.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $360.91 / $414.91 / $577.74	Professional		$360.91	$414.91	$577.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.14 / $344.79 / $473.52	Professional		$253.14	$344.79	$473.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.77 / $396.56 / $616.87	Professional		$228.77	$396.56	$616.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $432.70 / $568.50	Professional		$353.70	$432.70	$568.50