Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $103.63 / $103.63	Facility		$103.63	$103.63	$103.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $103.63 / $111.71	Professional		$85.13	$103.63	$111.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $142.50 / $142.50	Professional		$114.00	$142.50	$142.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $109.00 / $188.79	Facility		$85.13	$109.00	$188.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $179.94 / $661.36	Professional		$117.78	$179.94	$661.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $171.84 / $241.75	Facility		$133.46	$171.84	$241.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.90 / $176.91 / $264.06	Professional		$150.90	$176.91	$264.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $150.00 / $201.19	Professional		$120.72	$150.00	$201.19
United Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $179.94 / $208.86	Professional		$121.36	$179.94	$208.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $151.60 / $151.60	Professional		$125.10	$151.60	$151.60