Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.81 / $113.81 / $150.44	Facility		$113.81	$113.81	$150.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $257.83 / $364.80	Professional		$106.77	$257.83	$364.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $240.97 / $332.17	Professional		$139.44	$240.97	$332.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $198.07 / $262.04	Facility		$114.33	$198.07	$262.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $274.54 / $944.96	Professional		$157.58	$274.54	$944.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $232.03 / $303.85	Facility		$159.00	$232.03	$303.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $228.41 / $291.83	Professional		$153.51	$228.41	$291.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $219.26 / $290.45	Professional		$149.44	$219.26	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $241.47 / $297.41	Professional		$133.61	$241.47	$297.41
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 $194.10 / $201.80 / $267.30	Professional		$194.10	$201.80	$267.30