Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $92.51 / $108.83	Facility		$81.62	$92.51	$108.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $113.34 / $311.98	Professional		$85.01	$113.34	$311.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.85 / $208.07 / $260.08	Professional		$203.85	$208.07	$260.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $147.66 / $239.39	Facility		$114.48	$147.66	$239.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $198.21 / $707.45	Professional		$110.46	$198.21	$707.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.86 / $167.40 / $235.44	Facility		$156.86	$167.40	$235.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $170.79 / $223.72	Professional		$113.00	$170.79	$223.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $193.56 / $235.66	Professional		$119.28	$193.56	$235.66
United Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $185.65 / $235.68	Professional		$113.11	$185.65	$235.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $199.80	Professional		$194.00	$194.00	$199.80