Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $190.55	Facility		$97.72	$134.90	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $323.59	Professional		$91.20	$190.55	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $295.12	Professional		$93.33	$181.97	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $234.42	Facility		$85.11	$131.83	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $851.14	Professional		$117.49	$229.09	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $269.15	Professional		$131.83	$194.98	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $302.00	Professional		$134.90	$177.83	$302.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $263.03	Professional		$120.23	$177.83	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $245.47	Professional		$95.50	$158.49	$245.47
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 $141.25 / $173.78 / $239.88	Professional		$141.25	$173.78	$239.88