Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.11 / $167.11 / $167.11	Facility		$167.11	$167.11	$167.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.62 / $167.11 / $167.11	Professional		$139.62	$167.11	$167.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.98 / $360.70 / $450.88	Professional		$294.98	$360.70	$450.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.88 / $235.96 / $382.56	Facility		$182.88	$235.96	$382.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $287.27 / $463.49	Professional		$149.69	$287.27	$463.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.14 / $381.65 / $502.48	Facility		$325.14	$381.65	$502.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $381.65 / $459.91	Professional		$239.42	$381.65	$459.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $282.10 / $356.82	Professional		$184.29	$282.10	$356.82
United Facility/Professional Professional Modifier Low / Median / High Price $185.34 / $323.29 / $441.42	Professional		$185.34	$323.29	$441.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $308.30 / $308.30	Professional		$262.10	$308.30	$308.30