Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $128.82	Professional		$72.44	$107.15	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $169.82	Professional		$95.50	$120.23	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $131.83 / $234.42	Facility		$102.33	$131.83	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $691.83	Professional		$102.33	$169.82	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $251.19	Professional		$158.49	$177.83	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $239.88	Professional		$162.18	$173.78	$239.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $208.93	Professional		$125.89	$169.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $229.09	Professional		$97.72	$154.88	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $234.42	Professional		$181.97	$234.42	$234.42