Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $157.63 / $157.63	Facility		$157.63	$157.63	$157.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $143.27 / $157.63	Professional		$138.57	$143.27	$157.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.81 / $274.52 / $340.46	Professional		$271.81	$274.52	$340.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.88 / $200.13 / $242.13	Facility		$125.88	$200.13	$242.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $273.66 / $935.19	Professional		$141.75	$273.66	$935.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.86 / $311.99 / $369.06	Facility		$206.86	$311.99	$369.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.86 / $297.02 / $369.06	Professional		$206.86	$297.02	$369.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $215.01 / $252.94	Professional		$160.32	$215.01	$252.94
United Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $270.30 / $354.38	Professional		$144.69	$270.30	$354.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.89 / $319.20 / $319.20	Professional		$260.89	$319.20	$319.20