Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $104.71	Facility		$72.44	$75.86	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $263.03	Professional		$67.61	$131.83	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $229.09	Professional		$70.79	$141.25	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $177.83	Facility		$63.10	$100.00	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $660.69	Professional		$91.20	$173.78	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $213.80	Professional		$97.72	$147.91	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $234.42	Professional		$100.00	$138.04	$234.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $204.17	Professional		$91.20	$134.90	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $194.98	Professional		$69.18	$120.23	$194.98
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 $104.71 / $128.82 / $186.21	Professional		$104.71	$128.82	$186.21