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 / $75.86 / $128.82	Professional		$61.66	$75.86	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $199.53	Professional		$128.82	$158.49	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $169.82	Facility		$89.13	$104.71	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $173.78	Professional		$66.07	$95.50	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $131.83	Professional		$89.13	$120.23	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $158.49	Professional		$81.28	$128.82	$158.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $131.83	Professional		$112.20	$131.83	$131.83