Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $106.50 / $297.89	Facility		$106.50	$106.50	$297.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $93.01 / $166.51	Professional		$89.82	$93.01	$166.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $232.71 / $290.89	Professional		$152.25	$232.71	$290.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $151.80 / $228.65	Facility		$121.56	$151.80	$228.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $196.60 / $652.77	Professional		$107.19	$196.60	$652.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.85 / $211.35 / $336.25	Facility		$171.85	$211.35	$336.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $207.01 / $258.20	Professional		$156.00	$207.01	$258.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.64 / $168.52 / $192.71	Professional		$114.64	$168.52	$192.71
United Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $145.22 / $220.78	Professional		$109.48	$145.22	$220.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $207.20 / $207.20	Professional		$176.10	$207.20	$207.20