Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $269.15	Facility		$89.13	$89.13	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $144.54	Professional		$77.62	$89.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $251.19	Professional		$162.18	$204.17	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $194.98	Facility		$100.00	$125.89	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $549.54	Professional		$79.43	$151.36	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $186.21	Professional		$169.82	$186.21	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $162.18	Professional		$83.18	$131.83	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $186.21	Professional		$85.11	$125.89	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $177.83	Professional		$147.91	$177.83	$177.83