Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $148.49 / $148.49	Facility		$148.49	$148.49	$148.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $144.11 / $159.72	Professional		$118.96	$144.11	$159.72
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 $121.28 / $150.12 / $319.32	Facility		$121.28	$150.12	$319.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $303.81 / $1,105.55	Professional		$197.42	$303.81	$1,105.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.21 / $295.79 / $373.46	Facility		$208.21	$295.79	$373.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.98 / $299.94 / $450.97	Professional		$229.98	$299.94	$450.97
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 $197.42 / $303.81 / $358.94	Professional		$197.42	$303.81	$358.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $231.10 / $231.10	Professional		$190.70	$231.10	$231.10