Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.73 / $262.64 / $275.97	Facility		$127.73	$262.64	$275.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $147.19 / $307.64	Professional		$102.37	$147.19	$307.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $194.34 / $242.93	Professional		$97.00	$194.34	$242.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $150.27 / $250.09	Facility		$129.79	$150.27	$250.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $169.68 / $951.21	Professional		$110.30	$169.68	$951.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $177.55 / $341.44	Facility		$155.41	$177.55	$341.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $194.70 / $292.48	Professional		$144.44	$194.70	$292.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $184.06 / $296.54	Professional		$152.75	$184.06	$296.54
United Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $147.07 / $291.82	Professional		$113.73	$147.07	$291.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $195.90 / $243.20	Professional		$150.80	$195.90	$243.20