Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $145.22 / $145.22	Facility		$145.22	$145.22	$145.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $145.22 / $145.22	Professional		$130.41	$145.22	$145.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.50 / $268.33 / $330.63	Professional		$264.50	$268.33	$330.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.41 / $197.69 / $289.02	Facility		$130.41	$197.69	$289.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $224.37 / $828.33	Professional		$109.51	$224.37	$828.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $275.24 / $303.14	Facility		$40.65	$275.24	$303.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $235.25 / $338.68	Professional		$31.47	$235.25	$338.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $204.01 / $242.78	Professional		$132.83	$204.01	$242.78
United Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $210.40 / $270.08	Professional		$110.85	$210.40	$270.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $185.80 / $218.60 / $227.30	Professional		$185.80	$218.60	$227.30