Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.07 / $258.07 / $258.07	Facility		$258.07	$258.07	$258.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $227.04 / $258.07	Professional		$191.20	$227.04	$258.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $249.78 / $312.22	Professional		$163.41	$249.78	$312.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $306.81 / $454.08	Facility		$57.33	$306.81	$454.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.81 / $454.38 / $1,272.00	Professional		$112.81	$454.38	$1,272.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $189.00 / $617.70	Facility		$81.20	$189.00	$617.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $207.73 / $598.10	Professional		$85.40	$207.73	$598.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Professional		$116.46	$116.46	$116.46
United Facility/Professional Professional Modifier Low / Median / High Price $275.73 / $426.61 / $534.55	Professional		$275.73	$426.61	$534.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $548.20 / $548.20	Professional		$466.00	$548.20	$548.20