Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.44 / $96.44 / $96.44	Facility		$96.44	$96.44	$96.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $92.27 / $96.44	Professional		$77.50	$92.27	$96.44
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 $79.19 / $96.44 / $199.51	Facility		$79.19	$96.44	$199.51
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 / $171.23 / $241.75	Facility		$133.46	$171.23	$241.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.90 / $173.48 / $264.20	Professional		$150.90	$173.48	$264.20
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 $117.78 / $181.98 / $282.89	Professional		$117.78	$181.98	$282.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $151.60 / $151.60	Professional		$125.10	$151.60	$151.60