Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $316.23	Professional		$77.62	$85.11	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $208.93	Professional		$100.00	$141.25	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $128.82 / $302.00	Facility		$91.20	$128.82	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $141.25 / $1,174.90	Professional		$52.48	$141.25	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $154.88	Professional		$141.25	$154.88	$154.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $181.97	Professional		$117.49	$154.88	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $181.97	Professional		$48.98	$72.44	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $177.83	Professional		$144.54	$169.82	$177.83