Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $99.90 / $152.71	Professional		$99.90	$99.90	$152.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $188.61 / $259.44	Professional		$144.43	$188.61	$259.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $164.08 / $398.00	Facility		$101.50	$164.08	$398.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $298.89 / $839.44	Professional		$151.24	$298.89	$839.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.05 / $261.22 / $339.98	Facility		$177.05	$261.22	$339.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $216.91 / $311.75	Professional		$173.51	$216.91	$311.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $138.44 / $219.30	Professional		$110.35	$138.44	$219.30
United Facility/Professional Professional Modifier Low / Median / High Price $168.27 / $226.02 / $312.27	Professional		$168.27	$226.02	$312.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $168.00 / $266.20	Professional		$137.30	$168.00	$266.20