Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $58.44 / $58.44	Facility		$58.44	$58.44	$58.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $50.04 / $58.44	Professional		$50.04	$50.04	$58.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $127.99 / $159.99	Professional		$104.67	$127.99	$159.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $95.64 / $301.31	Facility		$71.67	$95.64	$301.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $111.04 / $2,895.10	Professional		$72.02	$111.04	$2,895.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.45 / $133.13 / $198.14	Facility		$114.45	$133.13	$198.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $139.32 / $340.00	Professional		$124.54	$139.32	$340.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $107.56 / $129.96	Professional		$77.16	$107.56	$129.96
United Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $108.04 / $135.44	Professional		$68.70	$108.04	$135.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $117.50 / $117.50	Professional		$99.90	$117.50	$117.50