Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.68 / $85.68 / $117.73	Facility		$85.68	$85.68	$117.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $185.06 / $299.70	Professional		$93.48	$185.06	$299.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $182.00 / $253.34	Professional		$107.87	$182.00	$253.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $144.80 / $205.04	Facility		$87.14	$144.80	$205.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $214.24 / $732.11	Professional		$122.13	$214.24	$732.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.88 / $174.71 / $237.30	Facility		$116.88	$174.71	$237.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $172.20 / $228.19	Professional		$115.93	$172.20	$228.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $165.61 / $227.30	Professional		$114.28	$165.61	$227.30
United Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $187.74 / $232.09	Professional		$113.99	$187.74	$232.09
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 $146.60 / $152.40 / $209.60	Professional		$146.60	$152.40	$209.60