Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $251.19	Professional		$123.03	$165.96	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $416.87	Professional		$302.00	$338.84	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $831.76	Facility		$173.78	$245.47	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $346.74	Professional		$223.87	$295.12	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $338.84	Professional		$269.15	$269.15	$338.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $354.81	Professional		$199.53	$229.09	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $489.78	Professional		$263.03	$295.12	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $269.15	Professional		$263.03	$263.03	$269.15