Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $741.31	Facility		$91.20	$91.20	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $223.87	Professional		$81.28	$107.15	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $257.04	Professional		$165.96	$208.93	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $199.53	Facility		$112.20	$141.25	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $1,288.25	Professional		$83.18	$165.96	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $208.93	Professional		$173.78	$208.93	$208.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $177.83	Professional		$109.65	$147.91	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $204.17	Professional		$93.33	$141.25	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $181.97	Professional		$154.88	$181.97	$181.97