Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.43 / $108.43 / $108.43	Facility		$108.43	$108.43	$108.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $108.43 / $116.75	Professional		$104.30	$108.43	$116.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $122.79 / $172.35	Professional		$96.42	$122.79	$172.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.66 / $197.31 / $233.50	Facility		$112.66	$197.31	$233.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $201.01 / $698.47	Professional		$107.36	$201.01	$698.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $186.58 / $253.60	Facility		$135.59	$186.58	$253.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $176.66 / $224.78	Professional		$146.19	$176.66	$224.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $178.17 / $209.60	Professional		$130.43	$178.17	$209.60
United Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $199.33 / $234.51	Professional		$101.93	$199.33	$234.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.10 / $235.00 / $235.00	Professional		$192.10	$235.00	$235.00