Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.96 / $106.96 / $106.96	Facility		$106.96	$106.96	$106.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $106.96 / $106.96	Professional		$91.27	$106.96	$106.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $239.69 / $299.61	Professional		$196.02	$239.69	$299.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $154.25 / $353.10	Facility		$130.72	$154.25	$353.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $153.19 / $229.79	Professional		$98.30	$153.19	$229.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.72 / $237.63 / $347.55	Facility		$197.72	$237.63	$347.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $229.79 / $288.00	Professional		$193.66	$229.79	$288.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $168.82 / $198.60	Professional		$122.71	$168.82	$198.60
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $135.38 / $207.86	Professional		$121.84	$135.38	$207.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $206.20 / $206.20	Professional		$175.30	$206.20	$206.20