Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $609.00 / $609.00	Professional		$609.00	$609.00	$609.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $157.50	Professional		$126.00	$126.00	$157.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $193.53 / $573.41	Facility		$115.66	$193.53	$573.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $108.65 / $248.39	Professional		$72.43	$108.65	$248.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $222.66 / $231.83	Facility		$162.97	$222.66	$231.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $231.83 / $345.85	Professional		$162.97	$231.83	$345.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $290.85 / $331.64	Professional		$181.08	$290.85	$331.64
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $84.45 / $144.86	Professional		$50.70	$84.45	$144.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $120.72 / $120.72	Professional		$120.72	$120.72	$120.72