Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.50 / $121.00 / $197.85	Facility		$91.50	$121.00	$197.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $73.88 / $167.83	Professional		$67.17	$73.88	$167.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $103.35 / $111.31	Professional		$84.76	$103.35	$111.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $122.14 / $249.50	Facility		$72.27	$122.14	$249.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $91.86 / $204.62	Professional		$78.08	$91.86	$204.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.41 / $147.41 / $155.10	Facility		$106.41	$147.41	$155.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $128.77 / $203.13	Professional		$101.34	$128.77	$203.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.51 / $150.00 / $201.19	Professional		$107.51	$150.00	$201.19
United Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $91.07 / $227.84	Professional		$78.08	$91.07	$227.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $140.90 / $165.80	Professional		$129.50	$140.90	$165.80