Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $676.08	Professional		$128.82	$257.04	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $338.84	Professional		$208.93	$275.42	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $912.01	Professional		$138.04	$208.93	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $309.03	Professional		$263.03	$309.03	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $239.88	Professional		$162.18	$204.17	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $288.40	Professional		$138.04	$208.93	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $281.84	Professional		$234.42	$281.84	$281.84