Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $73.40 / $105.45	Facility		$73.40	$73.40	$105.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $170.00 / $264.33	Professional		$73.05	$170.00	$264.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $156.87 / $232.67	Professional		$97.19	$156.87	$232.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.03 / $124.56 / $183.60	Facility		$78.03	$124.56	$183.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $190.37 / $655.29	Professional		$109.03	$190.37	$655.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $149.41 / $212.00	Facility		$101.00	$149.41	$212.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $147.50 / $202.64	Professional		$98.27	$147.50	$202.64
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 $95.00 / $186.28 / $227.29	Professional		$95.00	$186.28	$227.29
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