Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $95.52 / $110.67	Facility		$95.52	$95.52	$110.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $102.01 / $116.69	Professional		$82.56	$102.01	$116.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $186.25 / $246.40	Professional		$106.25	$186.25	$246.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $162.31 / $202.02	Facility		$96.04	$162.31	$202.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $204.32 / $702.61	Professional		$121.09	$204.32	$702.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.51 / $194.75 / $224.38	Facility		$133.51	$194.75	$224.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $173.77 / $217.01	Professional		$129.07	$173.77	$217.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $175.16 / $213.48	Professional		$123.40	$175.16	$213.48
United Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $169.55 / $221.34	Professional		$101.54	$169.55	$221.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $169.70 / $196.50	Professional		$163.19	$169.70	$196.50