Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $234.42	Professional		$138.04	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $457.09	Professional		$302.00	$371.54	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $234.42 / $380.19	Facility		$181.97	$234.42	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $467.74	Professional		$151.36	$263.03	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $363.08	Professional		$213.80	$295.12	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $436.52	Professional		$186.21	$288.40	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $309.03	Professional		$263.03	$309.03	$309.03