Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.35 / $147.35 / $147.35	Facility		$147.35	$147.35	$147.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $147.35 / $147.35	Professional		$122.27	$147.35	$147.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $285.27 / $356.59	Professional		$225.60	$285.27	$356.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $177.48 / $287.75	Facility		$147.94	$177.48	$287.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $94.05 / $308.48	Professional		$79.94	$94.05	$308.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $274.31 / $343.53	Facility		$202.27	$274.31	$343.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $238.26 / $322.91	Professional		$188.10	$238.26	$322.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $224.15 / $377.66 / $430.62	Professional		$224.15	$377.66	$430.62
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $79.94 / $156.75	Professional		$65.84	$79.94	$156.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $156.75 / $156.75	Professional		$156.75	$156.75	$156.75