Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $78.27 / $115.25	Facility		$78.27	$78.27	$115.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $109.30 / $275.89	Professional		$64.75	$109.30	$275.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $167.98 / $255.11	Professional		$105.52	$167.98	$255.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.52 / $136.59 / $201.22	Facility		$85.52	$136.59	$201.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $208.15 / $715.23	Professional		$125.10	$208.15	$715.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.86 / $159.59 / $232.08	Facility		$108.86	$159.59	$232.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $157.52 / $221.24	Professional		$107.25	$157.52	$221.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $150.72 / $218.37	Professional		$112.38	$150.72	$218.37
United Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $194.28 / $225.50	Professional		$105.87	$194.28	$225.50
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 $133.40 / $138.69 / $204.80	Professional		$133.40	$138.69	$204.80