Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Facility		$106.33	$106.33	$106.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $97.26 / $106.33	Professional		$92.70	$97.26	$106.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $145.41 / $154.07	Professional		$119.67	$145.41	$154.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.67 / $117.25 / $266.49	Facility		$82.67	$117.25	$266.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $186.64 / $339.08	Professional		$92.61	$186.64	$339.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $204.40 / $239.95	Facility		$162.43	$204.40	$239.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $199.15 / $247.45	Professional		$102.82	$199.15	$247.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $155.60 / $187.60	Professional		$84.10	$155.60	$187.60
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $185.09 / $268.95	Professional		$91.44	$185.09	$268.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $157.80 / $193.00	Professional		$157.80	$157.80	$193.00