Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $63.66 / $74.89	Facility		$56.17	$63.66	$74.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $86.06 / $215.38	Professional		$63.66	$86.06	$215.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $167.09 / $179.48	Professional		$143.58	$167.09	$179.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $106.73 / $173.11	Facility		$86.09	$106.73	$173.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $179.28 / $613.55	Professional		$88.35	$179.28	$613.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $159.18 / $193.29	Facility		$150.75	$159.18	$193.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $159.18 / $200.61	Professional		$105.46	$159.18	$200.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $151.19 / $182.68	Professional		$108.15	$151.19	$182.68
United Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $167.33 / $197.76	Professional		$88.73	$167.33	$197.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $139.60	Professional		$135.50	$135.50	$139.60