Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.97 / $112.97 / $241.08	Facility		$112.97	$112.97	$241.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $127.02	Professional		$96.42	$96.42	$127.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $250.55 / $313.19	Professional		$204.90	$250.55	$313.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.63 / $162.94 / $202.27	Facility		$102.63	$162.94	$202.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $191.94 / $689.38	Professional		$115.82	$191.94	$689.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.08 / $225.60 / $363.41	Facility		$186.08	$225.60	$363.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $225.60 / $269.02	Professional		$115.00	$225.60	$269.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $164.15 / $207.65	Professional		$117.58	$164.15	$207.65
United Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $186.75 / $203.47	Professional		$116.27	$186.75	$203.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $232.70 / $232.70	Professional		$197.80	$232.70	$232.70