Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $151.72 / $151.72	Facility		$151.72	$151.72	$151.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $151.72 / $151.72	Professional		$119.62	$151.72	$151.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.48 / $308.73 / $385.91	Professional		$252.48	$308.73	$385.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.43 / $202.16 / $327.76	Facility		$164.43	$202.16	$327.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $243.67 / $412.62	Professional		$154.78	$243.67	$412.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.39 / $408.70 / $446.88	Facility		$280.39	$408.70	$446.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $371.76 / $446.88	Professional		$212.80	$371.76	$446.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $242.15 / $301.44	Professional		$182.45	$242.15	$301.44
United Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $277.57 / $374.22	Professional		$158.97	$277.57	$374.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $264.60 / $264.60	Professional		$225.00	$264.60	$264.60