Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $107.17 / $107.17	Professional		$107.17	$107.17	$107.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.62 / $290.50 / $363.12	Professional		$185.62	$290.50	$363.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $181.12 / $759.76	Facility		$150.97	$181.12	$759.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $143.96 / $239.93	Professional		$81.56	$143.96	$239.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.94 / $279.91 / $314.77	Facility		$191.94	$279.91	$314.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $279.91 / $350.55	Professional		$191.94	$279.91	$350.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $385.37 / $439.41	Professional		$159.94	$385.37	$439.41
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $95.97 / $191.94	Professional		$67.18	$95.97	$191.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $159.94 / $159.94	Professional		$159.94	$159.94	$159.94