Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $97.60 / $134.94	Facility		$97.60	$97.60	$134.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $215.53 / $342.00	Professional		$84.66	$215.53	$342.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $209.87 / $298.50	Professional		$124.52	$209.87	$298.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.21 / $168.52 / $234.62	Facility		$102.21	$168.52	$234.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.59 / $244.84 / $845.09	Professional		$139.59	$244.84	$845.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $199.66 / $271.48	Facility		$137.00	$199.66	$271.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $195.81 / $260.62	Professional		$132.22	$195.81	$260.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $188.89 / $259.87	Professional		$133.85	$188.89	$259.87
United Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $215.18 / $265.24	Professional		$118.72	$215.18	$265.24
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 $167.20 / $173.90 / $239.90	Professional		$167.20	$173.90	$239.90