Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $109.25 / $113.46	Professional		$90.63	$109.25	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $166.41 / $166.41	Professional		$133.13	$166.41	$166.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $113.46 / $241.38	Facility		$92.34	$113.46	$241.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $215.11 / $768.84	Professional		$140.58	$215.11	$768.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $205.35 / $284.27	Facility		$157.71	$205.35	$284.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $213.99 / $321.99	Professional		$175.16	$213.99	$321.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $174.11 / $233.53	Professional		$140.13	$174.11	$233.53
United Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $215.11 / $255.60	Professional		$140.58	$215.11	$255.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $176.00 / $176.00	Professional		$145.19	$176.00	$176.00