Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.45 / $253.45 / $253.45	Facility		$253.45	$253.45	$253.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.80 / $222.80 / $253.45	Professional		$222.80	$222.80	$253.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $217.97 / $272.45	Professional		$177.88	$217.97	$272.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $345.77 / $428.33	Facility		$69.59	$345.77	$428.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.37 / $488.36 / $565.13	Professional		$222.37	$488.36	$565.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $165.19 / $593.69	Facility		$58.82	$165.19	$593.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $177.88 / $588.49	Professional		$62.61	$177.88	$588.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $102.95 / $102.95	Professional		$102.95	$102.95	$102.95
United Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $319.56 / $513.17	Professional		$146.02	$319.56	$513.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $441.30 / $519.20 / $519.20	Professional		$441.30	$519.20	$519.20