Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.46 / $109.46 / $109.46	Facility		$109.46	$109.46	$109.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $105.76 / $172.09	Professional		$95.41	$105.76	$172.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $249.78 / $312.22	Professional		$204.27	$249.78	$312.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $161.24 / $277.95	Facility		$136.66	$161.24	$277.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $195.39 / $247.47	Professional		$103.50	$195.39	$247.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $215.94 / $247.47 / $371.35	Facility		$215.94	$247.47	$371.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $243.83 / $285.06	Professional		$205.00	$243.83	$285.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $183.92 / $212.18	Professional		$135.94	$183.92	$212.18
United Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $192.55 / $239.66	Professional		$129.02	$192.55	$239.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $237.80 / $237.80	Professional		$202.10	$237.80	$237.80