Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Facility		$112.45	$112.45	$112.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $113.57 / $194.13	Professional		$112.45	$113.57	$194.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $163.92	Professional		$131.13	$131.13	$163.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.82 / $193.47 / $369.66	Facility		$144.82	$193.47	$369.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $114.48 / $128.71	Professional		$112.45	$114.48	$128.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $181.02 / $211.19	Facility		$137.38	$181.02	$211.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $166.47 / $194.26	Professional		$137.58	$166.47	$194.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $123.06 / $367.84	Professional		$123.06	$123.06	$367.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $123.70	Professional		$112.45	$112.45	$123.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $114.48 / $114.48	Facility		$114.48	$114.48	$114.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $114.48 / $114.48	Professional		$114.48	$114.48	$114.48