Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.46 / $112.46 / $112.46	Facility		$112.46	$112.46	$112.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $112.46 / $163.97	Professional		$101.71	$112.46	$163.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $216.40 / $267.82	Professional		$183.74	$216.40	$267.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $148.62 / $243.56	Facility		$98.44	$148.62	$243.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $207.92 / $662.29	Professional		$109.37	$207.92	$662.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.07 / $239.67 / $263.56	Facility		$198.07	$239.67	$263.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.92 / $223.75 / $272.11	Professional		$207.92	$223.75	$272.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $173.22 / $203.77	Professional		$122.99	$173.22	$203.77
United Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $191.24 / $224.99	Professional		$109.37	$191.24	$224.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.20 / $257.20 / $257.20	Professional		$210.20	$257.20	$257.20