Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $74.62 / $159.61	Facility		$74.62	$74.62	$159.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $137.16 / $162.91	Professional		$69.34	$137.16	$162.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $178.92 / $220.16	Professional		$102.38	$178.92	$220.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $130.76 / $259.56	Facility		$65.08	$130.76	$259.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $356.15 / $935.43	Professional		$184.38	$356.15	$935.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.38 / $209.12 / $334.67	Facility		$102.38	$209.12	$334.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $209.12 / $268.33	Professional		$98.82	$209.12	$268.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $172.89 / $244.55	Professional		$82.52	$172.89	$244.55
United Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $293.06 / $356.15	Professional		$142.46	$293.06	$356.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $128.10 / $261.60	Professional		$105.70	$128.10	$261.60