Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.97 / $75.95 / $105.43	Facility		$56.97	$75.95	$105.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $93.22 / $131.21	Professional		$67.83	$93.22	$131.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $229.35 / $314.01	Professional		$150.31	$229.35	$314.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $119.98 / $178.18	Facility		$80.15	$119.98	$178.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $635.76 / $920.04	Professional		$183.15	$635.76	$920.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $200.39 / $278.33	Facility		$148.47	$200.39	$278.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $192.75 / $239.95	Professional		$148.47	$192.75	$239.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $169.16 / $248.73	Professional		$119.84	$169.16	$248.73
United Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $242.31 / $297.43	Professional		$170.56	$242.31	$297.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $149.19 / $201.30	Professional		$123.10	$149.19	$201.30