Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $133.80 / $178.39	Facility		$110.22	$133.80	$178.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $152.87 / $203.84	Professional		$124.92	$152.87	$203.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $152.50 / $284.18	Professional		$113.36	$152.50	$284.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $256.82 / $357.56	Facility		$152.38	$256.82	$357.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $329.49 / $1,111.43	Professional		$186.38	$329.49	$1,111.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.12 / $284.00 / $320.88	Facility		$268.12	$284.00	$320.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $243.00 / $303.85	Professional		$219.00	$243.00	$303.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $258.11 / $311.16	Professional		$163.34	$258.11	$311.16
United Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $290.05 / $356.95	Professional		$160.44	$290.05	$356.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $194.50 / $234.50	Professional		$188.80	$194.50	$234.50