Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $331.13	Professional		$100.00	$151.36	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $275.42	Professional		$112.20	$213.80	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $173.78 / $257.04	Facility		$89.13	$173.78	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $1,071.52	Professional		$123.03	$194.98	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $239.88	Professional		$173.78	$239.88	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $275.42	Professional		$190.55	$275.42	$275.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $251.19	Professional		$144.54	$194.98	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $245.47	Professional		$114.82	$181.97	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $245.47	Professional		$239.88	$245.47	$245.47