Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.64 / $176.55 / $253.97	Facility		$99.64	$176.55	$253.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $133.47 / $221.61	Professional		$133.46	$133.47	$221.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $135.97 / $169.97	Professional		$135.97	$135.97	$169.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $190.86 / $365.71	Facility		$140.50	$190.86	$365.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $128.79 / $133.47	Professional		$128.79	$128.79	$133.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $160.16 / $189.47	Facility		$118.62	$160.16	$189.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $153.66 / $200.21	Professional		$93.42	$153.66	$200.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $119.43 / $119.43	Professional		$40.02	$119.43	$119.43
United Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $128.79 / $132.30	Professional		$128.79	$128.79	$132.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $133.47	Facility		$133.47	$133.47	$133.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $133.47 / $133.47	Professional		$133.47	$133.47	$133.47