Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $323.59 / $575.44	Facility		$120.23	$323.59	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $190.55	Professional		$74.13	$93.33	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $302.00	Professional		$190.55	$239.88	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $245.47	Facility		$77.62	$114.82	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $338.84	Professional		$91.20	$151.36	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $275.42	Professional		$177.83	$194.98	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Professional		$173.78	$173.78	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $218.78	Professional		$112.20	$154.88	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $257.04	Professional		$89.13	$158.49	$257.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Professional		$190.55	$190.55	$234.42