Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $239.88 / $616.60	Facility		$112.20	$239.88	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $245.47	Professional		$95.50	$112.20	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $323.59	Professional		$204.17	$257.04	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $194.98	Facility		$102.33	$154.88	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $239.88	Professional		$97.72	$144.54	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $229.09	Professional		$208.93	$223.87	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $208.93	Professional		$123.03	$165.96	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $234.42	Professional		$107.15	$165.96	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $234.42	Professional		$199.53	$234.42	$234.42