Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $194.98	Facility		$138.04	$138.04	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $208.93	Professional		$114.82	$138.04	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $389.05	Professional		$257.04	$316.23	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $316.23	Facility		$128.82	$169.82	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $316.23	Professional		$123.03	$190.55	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $204.17 / $316.23	Professional		$75.86	$204.17	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $295.12	Professional		$125.89	$173.78	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $281.84	Professional		$239.88	$281.84	$281.84