Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.08 / $160.08 / $160.08	Facility		$160.08	$160.08	$160.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $137.66 / $160.08	Professional		$137.66	$137.66	$160.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.62 / $361.48 / $451.85	Professional		$295.62	$361.48	$451.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.17 / $237.75 / $709.58	Facility		$197.17	$237.75	$709.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $304.18 / $3,095.91	Professional		$197.30	$304.18	$3,095.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $348.33 / $524.16	Facility		$227.29	$348.33	$524.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.47 / $373.87 / $655.04	Professional		$329.47	$373.87	$655.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.94 / $272.74 / $299.51	Professional		$205.94	$272.74	$299.51
United Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $295.95 / $361.43	Professional		$183.74	$295.95	$361.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $311.00 / $311.00	Professional		$264.30	$311.00	$311.00