Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $117.49	Facility		$112.20	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $151.36	Professional		$89.13	$109.65	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $295.12	Professional		$190.55	$234.42	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $213.80	Facility		$109.65	$158.49	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $269.15	Professional		$97.72	$144.54	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $234.42	Professional		$194.98	$208.93	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $190.55	Professional		$114.82	$162.18	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $218.78	Professional		$107.15	$165.96	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $199.53	Professional		$169.82	$199.53	$199.53