Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $117.94 / $117.94	Facility		$117.94	$117.94	$117.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $98.43 / $117.94	Professional		$90.13	$98.43	$117.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $230.38 / $287.98	Professional		$188.41	$230.38	$287.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.38 / $159.55 / $208.21	Facility		$127.38	$159.55	$208.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $201.20 / $734.89	Professional		$114.97	$201.20	$734.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $235.28 / $332.85	Facility		$184.00	$235.28	$332.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.97 / $231.82 / $284.64	Professional		$182.97	$231.82	$284.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $161.66 / $195.37	Professional		$116.28	$161.66	$195.37
United Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $167.57 / $209.79	Professional		$119.83	$167.57	$209.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $197.50 / $197.50	Professional		$167.90	$197.50	$197.50