Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $147.91 / $147.91	Facility		$141.25	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $173.78	Professional		$125.89	$147.91	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $354.81	Professional		$218.78	$288.40	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $407.38	Facility		$114.82	$194.98	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $870.96	Professional		$141.25	$218.78	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $338.84	Professional		$275.42	$316.23	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $288.40	Professional		$165.96	$288.40	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $275.42	Professional		$158.49	$218.78	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $316.23	Professional		$141.25	$229.09	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $316.23	Professional		$257.04	$269.15	$316.23