Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Facility		$86.38	$86.38	$86.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $87.25 / $202.12	Professional		$86.38	$87.25	$202.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $92.14 / $115.17	Professional		$92.14	$92.14	$115.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.29 / $153.97 / $652.42	Facility		$130.29	$153.97	$652.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $91.11 / $100.22	Professional		$86.38	$91.11	$100.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $185.97 / $457.07	Facility		$108.50	$185.97	$457.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $284.88 / $475.91	Professional		$109.33	$284.88	$475.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $94.53 / $407.16	Professional		$94.53	$94.53	$407.16
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $95.02	Professional		$86.38	$86.38	$95.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Facility		$91.11	$91.11	$91.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11