Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.78 / $93.78 / $130.76	Facility		$93.78	$93.78	$130.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $163.13 / $336.95	Professional		$81.06	$163.13	$336.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $198.74 / $281.01	Professional		$114.93	$198.74	$281.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.85 / $163.68 / $227.44	Facility		$96.85	$163.68	$227.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $237.44 / $817.69	Professional		$134.30	$237.44	$817.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $191.27 / $263.07	Facility		$131.66	$191.27	$263.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $187.88 / $253.41	Professional		$126.80	$187.88	$253.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $181.13 / $252.05	Professional		$126.72	$181.13	$252.05
United Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $237.44 / $257.22	Professional		$137.18	$237.44	$257.22
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 $160.30 / $166.70 / $232.20	Professional		$160.30	$166.70	$232.20