Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $676.08 / $977.24	Facility		$89.13	$676.08	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $331.13	Professional		$72.44	$91.20	$331.13
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 $114.82 / $147.91 / $213.80	Facility		$114.82	$147.91	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $794.33	Professional		$38.90	$70.79	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $234.42	Professional		$190.55	$234.42	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $194.98	Professional		$41.69	$75.86	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $177.83	Professional		$151.36	$177.83	$177.83