Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $41.36 / $256.50	Professional		$37.60	$41.36	$256.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $187.72 / $234.65	Professional		$153.52	$187.72	$234.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $121.84 / $143.30	Facility		$51.55	$121.84	$143.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $138.44 / $898.00	Professional		$86.12	$138.44	$898.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $159.19 / $270.58	Facility		$81.00	$159.19	$270.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $167.29 / $204.17	Professional		$65.92	$167.29	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $122.06 / $154.61	Professional		$53.96	$122.06	$154.61
United Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $138.44 / $166.44	Professional		$92.29	$138.44	$166.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $166.70 / $166.70	Professional		$141.69	$166.70	$166.70