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 / $711.44	Facility		$164.90	$202.26	$711.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $262.52 / $3,555.00	Professional		$170.29	$262.52	$3,555.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.17 / $298.91 / $434.74	Facility		$252.17	$298.91	$434.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $323.61 / $652.83	Professional		$273.26	$323.61	$652.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $236.01 / $272.86	Professional		$176.45	$236.01	$272.86
United Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $255.44 / $326.76	Professional		$153.79	$255.44	$326.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $219.20 / $257.89 / $257.89	Professional		$219.20	$257.89	$257.89