Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $204.17	Professional		$144.54	$169.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $512.86	Professional		$323.59	$407.38	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $239.88 / $309.03	Facility		$120.23	$239.88	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $478.63	Professional		$151.36	$234.42	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $354.81	Professional		$234.42	$234.42	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $380.19	Professional		$154.88	$288.40	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $309.03	Professional		$263.03	$309.03	$309.03