Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $83.87 / $121.08	Professional		$72.25	$83.87	$121.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $150.93 / $193.02	Professional		$76.01	$150.93	$193.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.25 / $104.09 / $153.32	Facility		$70.25	$104.09	$153.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $162.88 / $557.10	Professional		$78.53	$162.88	$557.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $176.57 / $201.30	Facility		$150.62	$176.57	$201.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $170.98 / $201.30	Professional		$136.18	$170.98	$201.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $122.08 / $166.90	Professional		$89.12	$122.08	$166.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $99.47 / $180.86	Professional		$71.28	$99.47	$180.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $131.00 / $152.19	Professional		$104.20	$131.00	$152.19