Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.02 / $162.02 / $162.02	Facility		$162.02	$162.02	$162.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $137.72 / $162.02	Professional		$134.47	$137.72	$162.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $32.34 / $32.34	Professional		$25.88	$32.34	$32.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.78 / $246.44 / $399.55	Facility		$90.78	$246.44	$399.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $169.31	Professional		$153.91	$153.91	$169.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $37.01 / $52.21	Facility		$28.31	$37.01	$52.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $37.49 / $61.94	Professional		$28.31	$37.49	$61.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $137.66 / $137.66	Professional		$137.66	$137.66	$137.66
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $203.17	Professional		$153.91	$153.91	$203.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $134.97	Professional		$134.97	$134.97	$134.97