Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Facility		$105.33	$105.33	$105.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $144.60 / $180.74	Professional		$92.39	$144.60	$180.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $178.01 / $378.15	Facility		$150.62	$178.01	$378.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $79.61 / $157.19	Professional		$53.45	$79.61	$157.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $174.80 / $195.12	Facility		$95.53	$174.80	$195.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $174.80 / $275.04	Professional		$95.61	$174.80	$275.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.03 / $191.80 / $218.70	Professional		$163.03	$191.80	$218.70
United Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $63.23 / $105.38	Professional		$33.44	$63.23	$105.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Professional		$106.20	$106.20	$106.20