Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $97.60 / $134.59	Facility		$97.60	$97.60	$134.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $117.01 / $268.52	Professional		$72.93	$117.01	$268.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $207.48 / $297.01	Professional		$119.88	$207.48	$297.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.46 / $167.69 / $234.02	Facility		$99.46	$167.69	$234.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $244.84 / $842.92	Professional		$134.30	$244.84	$842.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $199.66 / $270.82	Facility		$136.00	$199.66	$270.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $195.81 / $260.62	Professional		$132.22	$195.81	$260.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $188.89 / $259.22	Professional		$133.21	$188.89	$259.22
United Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $214.61 / $265.24	Professional		$119.23	$214.61	$265.24
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 $167.20 / $173.90 / $238.80	Professional		$167.20	$173.90	$238.80