Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $109.77 / $109.77	Professional		$109.77	$109.77	$109.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $255.90 / $319.87	Professional		$161.90	$255.90	$319.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.35 / $225.62 / $533.55	Facility		$159.35	$225.62	$533.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $347.47 / $1,157.24	Professional		$84.44	$347.47	$1,157.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.61 / $308.42 / $400.22	Facility		$181.61	$308.42	$400.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $286.70 / $324.00	Professional		$241.30	$286.70	$324.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $339.06 / $386.61	Professional		$229.81	$339.06	$386.61
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $84.44 / $386.08	Professional		$84.44	$84.44	$386.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $140.72 / $140.72	Professional		$140.72	$140.72	$140.72