Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $193.85 / $193.85	Facility		$193.85	$193.85	$193.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $218.96 / $663.94	Professional		$165.59	$218.96	$663.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.69 / $439.82 / $549.78	Professional		$359.69	$439.82	$549.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $283.58 / $459.77	Facility		$240.34	$283.58	$459.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.02 / $352.67 / $516.35	Professional		$185.02	$352.67	$516.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $379.10 / $427.53 / $657.76	Facility		$379.10	$427.53	$657.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $431.16 / $500.89	Professional		$315.00	$431.16	$500.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.97 / $307.93 / $375.85	Professional		$223.97	$307.93	$375.85
United Facility/Professional Professional Modifier Low / Median / High Price $202.31 / $228.76 / $367.84	Professional		$202.31	$228.76	$367.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $421.20 / $421.20	Professional		$358.00	$421.20	$421.20