Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.44 / $170.44 / $170.44	Facility		$170.44	$170.44	$170.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $170.44 / $170.44	Professional		$137.15	$170.44	$170.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $203.39 / $251.72	Professional		$201.38	$203.39	$251.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.12 / $231.78 / $375.79	Facility		$196.12	$231.78	$375.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $261.20 / $418.64	Professional		$173.40	$261.20	$418.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $239.48 / $271.05 / $351.84	Facility		$239.48	$271.05	$351.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.48 / $321.37 / $497.58	Professional		$239.48	$321.37	$497.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.92 / $304.64 / $358.38	Professional		$215.92	$304.64	$358.38
United Facility/Professional Professional Modifier Low / Median / High Price $219.29 / $335.70 / $418.64	Professional		$219.29	$335.70	$418.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00