Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $186.21	Facility		$154.88	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $251.19	Professional		$147.91	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $67.61	Professional		$53.70	$53.70	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $213.80 / $457.09	Facility		$52.48	$213.80	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $154.88 / $154.88	Professional		$43.65	$154.88	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $162.18	Professional		$158.49	$158.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $177.83	Professional		$134.90	$154.88	$177.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88