Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $66.92 / $99.33	Facility		$66.92	$66.92	$99.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $164.50 / $265.92	Professional		$66.92	$164.50	$265.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $143.21 / $219.20	Professional		$88.31	$143.21	$219.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $115.68 / $173.20	Facility		$73.61	$115.68	$173.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $179.32 / $618.82	Professional		$98.39	$179.32	$618.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.13 / $136.41 / $199.66	Facility		$92.13	$136.41	$199.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $134.69 / $190.44	Professional		$89.67	$134.69	$190.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $128.09 / $187.72	Professional		$90.77	$128.09	$187.72
United Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $176.17 / $194.26	Professional		$92.62	$176.17	$194.26
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 $113.40 / $117.90 / $175.00	Professional		$113.40	$117.90	$175.00