Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $158.49	Professional		$117.49	$141.25	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $218.78	Professional		$173.78	$177.83	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $316.23	Facility		$120.23	$147.91	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $1,096.48	Professional		$158.49	$302.00	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $302.00	Professional		$229.09	$302.00	$302.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $309.03	Professional		$177.83	$218.78	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $380.19	Professional		$204.17	$316.23	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $229.09	Professional		$190.55	$229.09	$229.09