Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $199.53	Professional		$117.49	$138.04	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $389.05	Professional		$288.40	$316.23	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $199.53 / $478.63	Facility		$144.54	$199.53	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $309.03	Professional		$125.89	$190.55	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $251.19	Professional		$177.83	$229.09	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $295.12	Professional		$154.88	$213.80	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $263.03	Professional		$223.87	$263.03	$263.03