Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $107.15	Professional		$61.66	$72.44	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $208.93	Professional		$131.83	$165.96	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $169.82	Facility		$75.86	$104.71	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $194.98	Professional		$66.07	$109.65	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $165.96	Professional		$134.90	$147.91	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $134.90	Professional		$85.11	$117.49	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $169.82	Professional		$83.18	$131.83	$169.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Professional		$128.82	$151.36	$151.36