Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.54 / $159.54 / $159.54	Facility		$159.54	$159.54	$159.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $159.54 / $173.60	Professional		$130.37	$159.54	$173.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $218.44 / $218.44	Professional		$174.75	$218.44	$218.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.37 / $173.60 / $299.50	Facility		$130.37	$173.60	$299.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $304.94 / $1,105.55	Professional		$196.96	$304.94	$1,105.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.21 / $289.29 / $373.46	Facility		$208.21	$289.29	$373.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.98 / $295.79 / $444.57	Professional		$229.98	$295.79	$444.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.99 / $228.61 / $306.63	Professional		$183.99	$228.61	$306.63
United Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $304.94 / $358.10	Professional		$196.96	$304.94	$358.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $231.10 / $231.10	Professional		$190.70	$231.10	$231.10