Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $121.06 / $121.06	Facility		$121.06	$121.06	$121.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $121.06 / $130.65	Professional		$99.27	$121.06	$130.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $166.41 / $166.41	Professional		$133.13	$166.41	$166.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.27 / $130.65 / $226.39	Facility		$99.27	$130.65	$226.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $216.89 / $768.84	Professional		$140.12	$216.89	$768.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $205.35 / $284.27	Facility		$157.71	$205.35	$284.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $209.19 / $317.27	Professional		$175.16	$209.19	$317.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $174.11 / $233.53	Professional		$140.13	$174.11	$233.53
United Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $222.92 / $264.39	Professional		$140.12	$222.92	$264.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $176.00 / $176.00	Professional		$145.19	$176.00	$176.00