Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $153.63 / $187.00	Professional		$148.33	$153.63	$187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.75 / $258.75 / $323.44	Professional		$258.75	$258.75	$323.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.50 / $180.74 / $298.29	Facility		$176.50	$180.74	$298.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $90.17 / $1,093.50	Professional		$72.00	$90.17	$1,093.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.69 / $216.00 / $357.53	Facility		$201.69	$216.00	$357.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $165.17 / $182.60	Professional		$154.06	$165.17	$182.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $180.74 / $227.26	Professional		$150.75	$180.74	$227.26
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $75.14 / $158.40	Professional		$70.59	$75.14	$158.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.02 / $165.02 / $165.02	Professional		$165.02	$165.02	$165.02