Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $162.18	Facility		$123.03	$128.82	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $363.08	Professional		$104.71	$158.49	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $363.08	Professional		$114.82	$229.09	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $281.84	Facility		$104.71	$158.49	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $1,023.29	Professional		$144.54	$269.15	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $331.13	Professional		$165.96	$245.47	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $371.54	Professional		$169.82	$218.78	$371.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $316.23	Professional		$151.36	$218.78	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $302.00	Professional		$117.49	$194.98	$302.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $288.40	Professional		$177.83	$218.78	$288.40