Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $73.40 / $105.81	Facility		$73.40	$73.40	$105.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $174.00 / $276.30	Professional		$73.05	$174.00	$276.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $156.43 / $226.41	Professional		$97.49	$156.43	$226.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $124.93 / $184.20	Facility		$78.29	$124.93	$184.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $191.02 / $657.47	Professional		$104.99	$191.02	$657.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.88 / $149.41 / $212.67	Facility		$101.88	$149.41	$212.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $147.50 / $203.31	Professional		$98.27	$147.50	$203.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $140.38 / $202.48	Professional		$103.38	$140.38	$202.48
United Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $174.27 / $206.93	Professional		$92.34	$174.27	$206.93
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 $124.20 / $129.19 / $186.40	Professional		$124.20	$129.19	$186.40