Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Facility		$114.54	$114.54	$114.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $118.22 / $491.28	Professional		$114.54	$118.22	$491.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $127.69 / $159.61	Professional		$127.69	$127.69	$159.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.56 / $165.11 / $495.25	Facility		$110.56	$165.11	$495.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $125.30	Professional		$97.70	$97.70	$125.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.56 / $150.36 / $187.21	Facility		$110.56	$150.36	$187.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $150.36 / $214.67	Professional		$106.07	$150.36	$214.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $125.34 / $487.56	Professional		$125.34	$125.34	$487.56
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $125.99	Professional		$114.54	$114.54	$125.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $97.70 / $97.70	Facility		$97.70	$97.70	$97.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $97.70	Professional		$97.70	$97.70	$97.70