Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.69 / $89.18 / $118.24	Facility		$78.69	$89.18	$118.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $110.34 / $155.30	Professional		$84.07	$110.34	$155.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $225.47 / $292.49	Professional		$155.00	$225.47	$292.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $120.32 / $199.83	Facility		$104.27	$120.32	$199.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $214.58 / $742.55	Professional		$116.57	$214.58	$742.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $181.04 / $290.83	Facility		$163.38	$181.04	$290.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $179.67 / $230.41	Professional		$144.60	$179.67	$230.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $146.12 / $238.72	Professional		$126.52	$146.12	$238.72
United Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $123.40 / $250.34	Professional		$110.74	$123.40	$250.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $159.10 / $193.80	Professional		$122.50	$159.10	$193.80