Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $93.76 / $125.02	Facility		$72.20	$93.76	$125.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $106.26 / $140.00	Professional		$81.83	$106.26	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $103.57 / $187.42	Professional		$77.34	$103.57	$187.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.34 / $171.43 / $250.60	Facility		$103.34	$171.43	$250.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $220.55 / $746.21	Professional		$125.04	$220.55	$746.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.10 / $194.00 / $224.35	Facility		$176.10	$194.00	$224.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $171.00 / $212.58	Professional		$154.00	$171.00	$212.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $170.13 / $218.65	Professional		$115.19	$170.13	$218.65
United Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $205.85 / $238.93	Professional		$126.75	$205.85	$238.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $128.19 / $164.80	Professional		$124.50	$128.19	$164.80