Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $114.82	Facility		$83.18	$87.10	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $275.42	Professional		$79.43	$158.49	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $251.19	Professional		$79.43	$154.88	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $194.98	Facility		$70.79	$109.65	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $724.44	Professional		$102.33	$190.55	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $234.42	Professional		$112.20	$165.96	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $257.04	Professional		$114.82	$151.36	$257.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $218.78	Professional		$102.33	$151.36	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $213.80	Professional		$77.62	$134.90	$213.80
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 $120.23 / $147.91 / $204.17	Professional		$120.23	$147.91	$204.17