Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $246.23 / $246.23	Facility		$246.23	$246.23	$246.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.00 / $270.00	Professional		$112.20	$190.00	$270.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.72 / $321.10 / $417.90	Facility		$176.72	$321.10	$417.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.90 / $156.90 / $156.90	Facility		$156.90	$156.90	$156.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $103.29 / $103.29	Professional		$103.29	$103.29	$103.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Professional		$64.00	$64.00	$64.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00