Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.57 / $63.57 / $63.57	Facility		$63.57	$63.57	$63.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $68.01 / $101.71	Professional		$53.96	$68.01	$101.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $138.85 / $173.56	Professional		$90.84	$138.85	$173.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.30 / $103.54 / $141.46	Facility		$84.30	$103.54	$141.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $117.59 / $480.87	Professional		$64.73	$117.59	$480.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $140.87 / $202.65	Facility		$119.96	$140.87	$202.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $136.85 / $154.91	Professional		$114.74	$136.85	$154.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $101.56 / $115.80	Professional		$76.62	$101.56	$115.80
United Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $114.41 / $129.46	Professional		$71.20	$114.41	$129.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $124.90 / $124.90	Professional		$106.10	$124.90	$124.90