Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $92.39 / $92.39	Facility		$92.39	$92.39	$92.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $96.12 / $142.07	Professional		$78.80	$96.12	$142.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $202.46 / $253.07	Professional		$132.46	$202.46	$253.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.02 / $148.74 / $203.64	Facility		$122.02	$148.74	$203.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $170.39 / $1,285.65	Professional		$93.94	$170.39	$1,285.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $203.56 / $293.23	Facility		$173.65	$203.56	$293.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.30 / $196.55 / $224.58	Professional		$166.30	$196.55	$224.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $146.96 / $167.98	Professional		$111.79	$146.96	$167.98
United Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $123.15 / $197.27	Professional		$103.33	$123.15	$197.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $180.70 / $180.70	Professional		$153.60	$180.70	$180.70