Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.64 / $166.64 / $166.64	Facility		$166.64	$166.64	$166.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $166.64 / $583.15	Professional		$156.06	$166.64	$583.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.99 / $420.20 / $520.04	Professional		$415.99	$420.20	$520.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.17 / $302.50 / $527.65	Facility		$223.17	$302.50	$527.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $391.92 / $1,500.00	Professional		$230.74	$391.92	$1,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $291.22 / $445.40 / $617.37	Facility		$291.22	$445.40	$617.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $438.86 / $539.24	Professional		$349.23	$438.86	$539.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.70 / $342.14 / $390.08	Professional		$251.70	$342.14	$390.08
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $384.56 / $532.50	Professional		$230.74	$384.56	$532.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.20 / $447.20 / $465.10	Professional		$380.20	$447.20	$465.10