Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $85.25 / $85.25	Facility		$85.25	$85.25	$85.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $85.25	Professional		$72.45	$72.45	$85.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $207.11 / $258.89	Professional		$169.38	$207.11	$258.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.76 / $122.46 / $166.12	Facility		$68.76	$122.46	$166.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $305.95 / $857.73	Professional		$162.75	$305.95	$857.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $97.37 / $231.52	Facility		$58.12	$97.37	$231.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $170.49 / $272.00	Professional		$61.20	$170.49	$272.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $314.44 / $337.76	Professional		$162.75	$314.44	$337.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $221.70 / $221.70	Professional		$188.40	$221.70	$221.70