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 / $439.56	Facility		$159.52	$188.22	$439.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $230.74 / $365.80	Professional		$119.45	$230.74	$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 $264.02 / $307.45 / $440.03	Professional		$264.02	$307.45	$440.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $232.67 / $284.92	Professional		$172.53	$232.67	$284.92
United Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $189.46 / $348.38	Professional		$148.60	$189.46	$348.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $250.50 / $250.50	Professional		$213.00	$250.50	$250.50