Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.37 / $175.37 / $175.37	Facility		$175.37	$175.37	$175.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $175.37 / $175.37	Professional		$147.61	$175.37	$175.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.11 / $381.64 / $477.06	Professional		$312.11	$381.64	$477.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.01 / $249.46 / $404.45	Facility		$160.01	$249.46	$404.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $237.15 / $393.51	Professional		$156.00	$237.15	$393.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.14 / $387.03 / $393.51	Facility		$325.14	$387.03	$393.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $354.28 / $469.02	Professional		$194.83	$354.28	$469.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $275.76 / $315.68	Professional		$181.67	$275.76	$315.68
United Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $218.51 / $364.18	Professional		$196.13	$218.51	$364.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $277.50 / $326.39 / $326.39	Professional		$277.50	$326.39	$326.39