Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $129.13 / $129.13	Facility		$129.13	$129.13	$129.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $129.13 / $129.13	Professional		$111.37	$129.13	$129.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.53 / $291.66 / $364.58	Professional		$238.53	$291.66	$364.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.52 / $188.22 / $323.14	Facility		$159.52	$188.22	$323.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $226.88 / $365.80	Professional		$119.45	$226.88	$365.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.43 / $325.14 / $379.33	Facility		$265.43	$325.14	$379.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $287.17 / $339.38	Professional		$251.00	$287.17	$339.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $229.25 / $276.99	Professional		$161.68	$229.25	$276.99
United Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $191.61 / $348.38	Professional		$148.60	$191.61	$348.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $250.50 / $250.50	Professional		$213.00	$250.50	$250.50