Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $108.70 / $108.70	Facility		$108.70	$108.70	$108.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $108.70 / $108.70	Professional		$93.08	$108.70	$108.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $243.57 / $304.45	Professional		$199.19	$243.57	$304.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $157.31 / $321.00	Facility		$133.32	$157.31	$321.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $174.16 / $280.64	Professional		$99.92	$174.16	$280.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.02 / $253.65 / $353.22	Facility		$222.02	$253.65	$353.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.02 / $252.80 / $293.70	Professional		$222.02	$252.80	$293.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $185.38 / $221.21	Professional		$141.69	$185.38	$221.21
United Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $199.10 / $267.27	Professional		$124.22	$199.10	$267.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $209.60 / $209.60	Professional		$178.10	$209.60	$209.60