Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $85.50	Facility		$85.50	$85.50	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $103.19 / $478.80	Professional		$85.50	$103.19	$478.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.40 / $214.25 / $267.82	Professional		$197.40	$214.25	$267.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.66 / $151.86 / $269.55	Facility		$114.66	$151.86	$269.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $200.30 / $1,500.00	Professional		$117.83	$200.30	$1,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.40 / $243.05 / $2,929.96	Facility		$197.40	$243.05	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.82 / $197.40 / $226.94	Professional		$168.82	$197.40	$226.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $175.22 / $199.89	Professional		$127.58	$175.22	$199.89
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 $117.83 / $196.38 / $272.50	Professional		$117.83	$196.38	$272.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $151.40 / $157.50	Professional		$128.69	$151.40	$157.50