Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $194.98	Professional		$66.07	$107.15	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $269.15	Professional		$144.54	$190.55	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $398.11	Facility		$102.33	$165.96	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $831.76	Professional		$173.78	$263.03	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $263.03	Professional		$173.78	$173.78	$263.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $218.78	Professional		$117.49	$158.49	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $309.03	Professional		$107.15	$194.98	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $269.15	Professional		$138.04	$169.82	$269.15