Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $133.57 / $133.57	Facility		$133.57	$133.57	$133.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $106.46 / $202.86	Professional		$73.42	$106.46	$202.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.34 / $250.55 / $313.18	Professional		$203.34	$250.55	$313.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $169.71 / $265.97	Facility		$50.80	$169.71	$265.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $210.49 / $758.33	Professional		$86.30	$210.49	$758.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $176.10 / $282.83	Facility		$77.00	$176.10	$282.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $160.13 / $280.75	Professional		$70.00	$160.13	$280.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $142.28 / $227.06	Professional		$86.24	$142.28	$227.06
United Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $192.87 / $261.64	Professional		$79.11	$192.87	$261.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $206.80 / $215.10	Professional		$175.80	$206.80	$215.10