Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.31 / $135.31 / $135.31	Facility		$135.31	$135.31	$135.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $115.13 / $135.31	Professional		$115.13	$115.13	$135.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.87 / $299.42 / $374.28	Professional		$244.87	$299.42	$374.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $202.26 / $653.34	Facility		$164.90	$202.26	$653.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $262.52 / $3,100.39	Professional		$170.29	$262.52	$3,100.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.17 / $297.24 / $434.74	Facility		$252.17	$297.24	$434.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $323.61 / $586.33	Professional		$273.26	$323.61	$586.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $236.01 / $248.41	Professional		$176.45	$236.01	$248.41
United Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $255.44 / $314.85	Professional		$153.79	$255.44	$314.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $219.20 / $257.89 / $257.89	Professional		$219.20	$257.89	$257.89