Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $73.40 / $110.39	Facility		$73.40	$73.40	$110.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $108.15 / $288.00	Professional		$63.34	$108.15	$288.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $158.47 / $243.89	Professional		$98.27	$158.47	$243.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $130.63 / $192.60	Facility		$81.86	$130.63	$192.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $198.81 / $685.73	Professional		$115.26	$198.81	$685.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.88 / $149.41 / $221.89	Facility		$101.88	$149.41	$221.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $147.50 / $211.19	Professional		$100.38	$147.50	$211.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $140.38 / $208.79	Professional		$103.38	$140.38	$208.79
United Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $195.47 / $238.52	Professional		$101.66	$195.47	$238.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $129.19 / $195.30	Professional		$124.20	$129.19	$195.30