Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $125.89	Professional		$75.86	$89.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $245.47	Professional		$154.88	$194.98	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $177.83	Facility		$89.13	$125.89	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $229.09	Professional		$77.62	$120.23	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $173.78	Professional		$162.18	$169.82	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $158.49	Professional		$97.72	$134.90	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $177.83	Professional		$89.13	$134.90	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $162.18	Professional		$138.04	$162.18	$162.18