Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.87 / $108.87 / $108.87	Facility		$108.87	$108.87	$108.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $102.90 / $172.75	Professional		$91.04	$102.90	$172.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $248.22 / $310.27	Professional		$203.00	$248.22	$310.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $160.09 / $249.69	Facility		$135.68	$160.09	$249.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $190.85 / $238.70	Professional		$102.90	$190.85	$238.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.49 / $238.70 / $371.35	Facility		$213.49	$238.70	$371.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $238.70 / $281.41	Professional		$177.00	$238.70	$281.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $168.71 / $212.18	Professional		$116.77	$168.71	$212.18
United Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $132.55 / $202.50	Professional		$111.38	$132.55	$202.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $237.80 / $237.80	Professional		$202.10	$237.80	$237.80