Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $126.85 / $161.30	Facility		$51.31	$126.85	$161.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $136.80	Professional		$51.31	$51.31	$136.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $93.15 / $116.44	Professional		$73.67	$93.15	$116.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.68 / $91.43 / $143.97	Facility		$74.68	$91.43	$143.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $41.05 / $255.52	Professional		$30.79	$41.05	$255.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $66.70 / $112.44	Facility		$61.57	$66.70	$112.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $85.07 / $112.44	Professional		$61.57	$85.07	$112.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $123.62 / $140.96	Professional		$73.37	$123.62	$140.96
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $51.31	Professional		$30.79	$30.79	$51.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31