Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $165.63 / $165.63	Facility		$129.36	$165.63	$165.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $130.66 / $202.27	Professional		$109.12	$130.66	$202.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $184.50 / $234.32	Professional		$142.88	$184.50	$234.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $261.36 / $360.24	Facility		$140.22	$261.36	$360.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.69 / $297.76 / $1,045.69	Professional		$151.69	$297.76	$1,045.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $188.75 / $278.73 / $387.50	Facility		$188.75	$278.73	$387.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $239.46 / $325.47	Professional		$188.75	$239.46	$325.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $187.61 / $251.64 / $321.51	Professional		$187.61	$251.64	$321.51
United Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $278.16 / $330.84	Professional		$143.26	$278.16	$330.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.70 / $231.60 / $295.89	Professional		$222.70	$231.60	$295.89