Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $114.33 / $114.33	Facility		$114.33	$114.33	$114.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $114.33 / $114.33	Professional		$98.23	$114.33	$114.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.34 / $255.98 / $319.98	Professional		$209.34	$255.98	$319.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $166.01 / $408.74	Facility		$140.69	$166.01	$408.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $187.21 / $301.75	Professional		$105.10	$187.21	$301.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.42 / $273.07 / $371.35	Facility		$233.42	$273.07	$371.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $265.10 / $328.00	Professional		$233.42	$265.10	$328.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $201.59 / $231.98	Professional		$150.36	$201.59	$231.98
United Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $172.43 / $287.38	Professional		$131.02	$172.43	$287.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.30 / $220.30 / $220.30	Professional		$187.30	$220.30	$220.30