Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.03 / $243.03 / $243.03	Facility		$243.03	$243.03	$243.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $243.03 / $243.03	Professional		$204.18	$243.03	$243.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.11 / $525.91 / $657.41	Professional		$430.11	$525.91	$657.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.45 / $345.06 / $559.45	Facility		$292.45	$345.06	$559.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.68 / $329.52 / $545.33	Professional		$214.68	$329.52	$545.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $379.33 / $509.55 / $545.33	Facility		$379.33	$509.55	$545.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $493.71 / $649.34	Professional		$357.00	$493.71	$649.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $262.42 / $379.02 / $437.39	Professional		$262.42	$379.02	$437.39
United Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $303.77 / $506.30	Professional		$271.22	$303.77	$506.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.40 / $448.70 / $448.70	Professional		$381.40	$448.70	$448.70