Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $151.36	Professional		$97.72	$120.23	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $389.05	Professional		$199.53	$309.03	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $173.78 / $234.42	Facility		$63.10	$173.78	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $741.31	Professional		$83.18	$141.25	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $331.13	Professional		$257.04	$331.13	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $251.19	Professional		$93.33	$141.25	$251.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $245.47	Professional		$204.17	$245.47	$245.47