Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $140.94 / $140.94	Facility		$92.98	$140.94	$140.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $201.00 / $334.64	Professional		$96.80	$201.00	$334.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $195.12 / $268.63	Professional		$113.67	$195.12	$268.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $157.13 / $217.86	Facility		$94.70	$157.13	$217.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $227.70 / $785.23	Professional		$133.13	$227.70	$785.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.42 / $189.81 / $252.40	Facility		$127.42	$189.81	$252.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.46 / $241.40	Professional		$125.89	$186.46	$241.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $179.84 / $241.63	Professional		$124.03	$179.84	$241.63
United Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $206.28 / $246.68	Professional		$110.43	$206.28	$246.68
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 $159.19 / $165.50 / $222.70	Professional		$159.19	$165.50	$222.70