Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $151.36	Facility		$120.23	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $162.18	Professional		$93.33	$144.54	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $138.04	Professional		$107.15	$134.90	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $380.19	Facility		$91.20	$165.96	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $346.74	Professional		$112.20	$144.54	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $251.19	Professional		$208.93	$245.47	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $302.00	Professional		$144.54	$186.21	$302.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $275.42	Professional		$112.20	$141.25	$275.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $154.88	Professional		$120.23	$131.83	$154.88