Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.42 / $170.42 / $170.42	Facility		$170.42	$170.42	$170.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $170.08 / $566.04	Professional		$147.56	$170.08	$566.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $385.52 / $481.90	Professional		$315.27	$385.52	$481.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.93 / $248.89 / $406.56	Facility		$210.93	$248.89	$406.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $312.77 / $460.24	Professional		$160.16	$312.77	$460.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $333.93 / $386.13 / $577.40	Facility		$333.93	$386.13	$577.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $380.83 / $443.52	Professional		$306.00	$380.83	$443.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.08 / $273.70 / $329.92	Professional		$199.08	$273.70	$329.92
United Facility/Professional Professional Modifier Low / Median / High Price $180.44 / $214.89 / $328.08	Professional		$180.44	$214.89	$328.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.30 / $369.80 / $369.80	Professional		$314.30	$369.80	$369.80