Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $86.67 / $114.43	Professional		$82.49	$86.67	$114.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $118.13 / $147.66	Professional		$99.87	$118.13	$147.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.72 / $117.18 / $193.39	Facility		$83.72	$117.18	$193.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $51.62 / $618.38	Professional		$46.68	$51.62	$618.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $113.83 / $201.79	Facility		$107.00	$113.83	$201.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $99.87 / $103.05	Professional		$93.23	$99.87	$103.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $117.18 / $147.34	Professional		$97.73	$117.18	$147.34
United Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $46.68 / $103.06	Professional		$39.26	$46.68	$103.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13