Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $83.13 / $115.19	Facility		$83.13	$83.13	$115.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $194.67 / $301.50	Professional		$83.13	$194.67	$301.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $176.99 / $253.61	Professional		$106.42	$176.99	$253.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.81 / $140.49 / $200.62	Facility		$85.81	$140.49	$200.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $209.03 / $717.08	Professional		$114.83	$209.03	$717.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $169.44 / $232.03	Facility		$113.67	$169.44	$232.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $167.29 / $222.19	Professional		$111.86	$167.29	$222.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $159.78 / $221.24	Professional		$114.20	$159.78	$221.24
United Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $170.27 / $226.45	Professional		$105.56	$170.27	$226.45
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 $141.40 / $147.10 / $203.60	Professional		$141.40	$147.10	$203.60