Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $130.09 / $357.83	Facility		$89.89	$130.09	$357.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $118.78 / $182.67	Professional		$87.69	$118.78	$182.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $159.90 / $209.79	Professional		$127.92	$159.90	$209.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.64 / $125.35 / $219.85	Facility		$99.64	$125.35	$219.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $215.09 / $817.07	Professional		$130.13	$215.09	$817.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.59 / $254.55 / $309.12	Facility		$208.59	$254.55	$309.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.59 / $229.37 / $279.91	Professional		$208.59	$229.37	$279.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $159.94 / $237.85	Professional		$123.43	$159.94	$237.85
United Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $138.25 / $282.18	Professional		$126.62	$138.25	$282.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $210.50 / $257.60	Professional		$173.00	$210.50	$257.60