Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.22 / $72.22 / $72.22	Facility		$72.22	$72.22	$72.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $76.43 / $113.35	Professional		$61.91	$76.43	$113.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $155.91 / $194.89	Professional		$127.51	$155.91	$194.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.67 / $104.63 / $169.63	Facility		$88.67	$104.63	$169.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $95.90 / $173.64	Professional		$66.56	$95.90	$173.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.51 / $173.64 / $224.18	Facility		$132.51	$173.64	$224.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $165.65 / $205.82	Professional		$134.00	$165.65	$205.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $112.35 / $130.96	Professional		$85.52	$112.35	$130.96
United Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $93.71 / $147.41	Professional		$81.08	$93.71	$147.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $133.00 / $133.00	Professional		$113.00	$133.00	$133.00