Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $103.12 / $103.12	Facility		$103.12	$103.12	$103.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $88.08 / $103.12	Professional		$88.08	$88.08	$103.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $224.95 / $281.19	Professional		$183.97	$224.95	$281.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.19 / $148.11 / $174.27	Facility		$93.19	$148.11	$174.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $167.44 / $640.03	Professional		$97.84	$167.44	$640.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $192.62 / $323.79	Facility		$155.18	$192.62	$323.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $192.62 / $243.80	Professional		$112.00	$192.62	$243.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $137.94 / $185.01	Professional		$98.63	$137.94	$185.01
United Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $137.22 / $172.09	Professional		$104.00	$137.22	$172.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $192.10 / $192.10	Professional		$163.30	$192.10	$192.10