Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $153.71	Professional		$125.50	$125.50	$153.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $127.35 / $154.69	Professional		$123.75	$127.35	$154.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.47 / $212.10 / $343.87	Facility		$179.47	$212.10	$343.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $162.41 / $162.41	Professional		$83.13	$162.41	$162.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.22 / $154.99 / $185.34	Facility		$148.22	$154.99	$185.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $159.75 / $194.00	Professional		$117.14	$159.75	$194.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $60.00 / $60.00	Professional		$53.60	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $162.41 / $166.84	Professional		$147.65	$162.41	$166.84