Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $192.39 / $192.39	Facility		$78.06	$192.39	$192.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $174.27 / $254.23	Professional		$64.18	$174.27	$254.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $163.18 / $399.55	Professional		$120.04	$163.18	$399.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $199.73 / $393.00	Facility		$91.01	$199.73	$393.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $343.90 / $1,242.00	Professional		$154.91	$343.90	$1,242.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.59 / $253.34 / $415.39	Facility		$150.59	$253.34	$415.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $253.34 / $434.31	Professional		$147.79	$253.34	$434.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $218.00 / $292.39	Professional		$95.13	$218.00	$292.39
United Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $303.83 / $380.33	Professional		$128.24	$303.83	$380.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $106.00 / $277.00	Professional		$86.60	$106.00	$277.00