Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.89 / $71.89 / $71.89	Facility		$71.89	$71.89	$71.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $66.34 / $111.76	Professional		$62.42	$66.34	$111.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $162.90 / $203.62	Professional		$133.22	$162.90	$203.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $105.49 / $186.90	Facility		$89.40	$105.49	$186.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $128.83 / $164.12	Professional		$67.38	$128.83	$164.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.18 / $164.12 / $240.00	Facility		$141.18	$164.12	$240.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $161.00 / $187.61	Professional		$136.09	$161.00	$187.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $120.29 / $137.13	Professional		$89.54	$120.29	$137.13
United Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $90.68 / $151.13	Professional		$83.13	$90.68	$151.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $153.69 / $153.69	Professional		$130.60	$153.69	$153.69