Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $89.85 / $393.60	Professional		$74.98	$89.85	$393.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $186.98 / $233.73	Professional		$169.92	$186.98	$233.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.10 / $136.63 / $238.38	Facility		$100.10	$136.63	$238.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $173.40 / $1,500.00	Professional		$104.04	$173.40	$1,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.76 / $213.47 / $2,929.96	Facility		$158.76	$213.47	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.82 / $173.28 / $202.92	Professional		$149.82	$173.28	$202.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $154.90 / $176.60	Professional		$114.60	$154.90	$176.60
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 $104.04 / $154.72 / $240.69	Professional		$104.04	$154.72	$240.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $133.80 / $139.10	Professional		$113.70	$133.80	$139.10