Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $83.13 / $119.76	Facility		$83.13	$83.13	$119.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $128.11 / $286.58	Professional		$64.75	$128.11	$286.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $178.56 / $264.83	Professional		$109.76	$178.56	$264.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.83 / $145.02 / $209.00	Facility		$88.83	$145.02	$209.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $216.83 / $743.11	Professional		$123.26	$216.83	$743.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $169.44 / $241.26	Facility		$115.36	$169.44	$241.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $167.29 / $230.41	Professional		$113.00	$167.29	$230.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $159.78 / $229.06	Professional		$118.29	$159.78	$229.06
United Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $168.98 / $234.90	Professional		$112.70	$168.98	$234.90
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 $141.40 / $147.10 / $212.60	Professional		$141.40	$147.10	$212.60