Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $126.54	Professional		$89.34	$89.34	$126.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $122.18 / $151.22	Professional		$120.98	$122.18	$151.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $176.74 / $209.16	Facility		$104.58	$176.74	$209.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $116.42 / $1,160.52	Professional		$104.58	$116.42	$1,160.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $173.31 / $233.31	Facility		$142.50	$173.31	$233.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $156.88 / $199.98	Professional		$137.81	$156.88	$199.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $97.78 / $132.61	Professional		$97.78	$97.78	$132.61
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $133.32	Professional		$89.34	$89.34	$133.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $114.45 / $114.45 / $114.45	Facility		$114.45	$114.45	$114.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.45 / $114.45 / $114.45	Professional		$114.45	$114.45	$114.45