Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $137.13 / $137.13	Facility		$137.13	$137.13	$137.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $117.20 / $137.13	Professional		$117.20	$117.20	$137.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.94 / $305.63 / $382.03	Professional		$249.94	$305.63	$382.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.87 / $198.07 / $345.37	Facility		$167.87	$198.07	$345.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $249.10 / $312.14	Professional		$125.80	$249.10	$312.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $306.52 / $443.80	Facility		$87.75	$306.52	$443.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $278.95 / $312.14 / $389.04	Professional		$278.95	$312.14	$389.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $222.80 / $253.58	Professional		$164.76	$222.80	$253.58
United Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $166.07 / $283.77	Professional		$155.78	$166.07	$283.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.80 / $263.30 / $263.30	Professional		$223.80	$263.30	$263.30