Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.53 / $280.57 / $287.43	Facility		$127.53	$280.57	$287.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $163.18 / $382.79	Professional		$119.14	$163.18	$382.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $209.92 / $262.39	Professional		$110.00	$209.92	$262.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.78 / $170.04 / $287.37	Facility		$140.78	$170.04	$287.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $200.86 / $1,103.45	Professional		$140.47	$200.86	$1,103.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $200.86 / $378.11	Facility		$172.12	$200.86	$378.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.71 / $202.49 / $315.56	Professional		$155.71	$202.49	$315.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $168.23 / $212.93 / $328.43	Professional		$168.23	$212.93	$328.43
United Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $181.00 / $300.14	Professional		$135.04	$181.00	$300.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $208.10 / $263.10	Professional		$160.19	$208.10	$263.10