Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $77.70 / $119.18	Professional		$74.05	$77.70	$119.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $107.63 / $134.53	Professional		$104.03	$107.63	$134.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $122.04 / $201.41	Facility		$74.05	$122.04	$201.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $48.62 / $607.76	Professional		$45.66	$48.62	$607.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.68 / $178.48	Facility		$100.00	$100.68	$178.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $91.16 / $104.03	Professional		$82.46	$91.16	$104.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $122.04 / $153.44	Professional		$101.80	$122.04	$153.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $45.66 / $101.47	Professional		$35.75	$45.66	$101.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $82.38 / $82.38	Professional		$82.38	$82.38	$82.38