Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $113.64 / $182.00	Professional		$87.46	$113.64	$182.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $191.54 / $271.54	Professional		$87.92	$191.54	$271.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $127.46 / $261.47	Facility		$79.41	$127.46	$261.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $176.80 / $801.18	Professional		$114.33	$176.80	$801.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.75 / $233.27 / $311.32	Facility		$198.75	$233.27	$311.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $221.02 / $268.75	Professional		$176.80	$221.02	$268.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.16 / $169.77 / $239.35	Professional		$125.16	$169.77	$239.35
United Facility/Professional Professional Modifier Low / Median / High Price $105.54 / $148.99 / $248.83	Professional		$105.54	$148.99	$248.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $206.60 / $279.00	Professional		$168.90	$206.60	$279.00