Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $92.43 / $92.43	Facility		$92.43	$92.43	$92.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $91.06 / $175.80	Professional		$76.73	$91.06	$175.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.66 / $230.31 / $287.88	Professional		$181.66	$230.31	$287.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $110.22 / $210.24	Facility		$76.73	$110.22	$210.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $163.01 / $249.09	Professional		$88.56	$163.01	$249.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $186.83 / $233.44	Facility		$134.00	$186.83	$233.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $191.23 / $273.91	Professional		$134.00	$191.23	$273.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $150.93 / $213.48	Professional		$110.81	$150.93	$213.48
United Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $161.65 / $221.40	Professional		$87.62	$161.65	$221.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $229.10	Professional		$187.20	$187.20	$229.10