Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.90 / $96.88 / $466.51	Facility		$53.90	$96.88	$466.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $98.15 / $118.77	Professional		$38.96	$98.15	$118.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $93.30 / $106.36	Professional		$85.09	$93.30	$106.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $140.37 / $268.95	Facility		$61.11	$140.37	$268.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $94.85 / $98.16	Professional		$73.30	$94.85	$98.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $92.64 / $100.19	Facility		$51.27	$92.64	$100.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $92.64 / $125.24	Professional		$38.19	$92.64	$125.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $98.16 / $98.16	Professional		$50.00	$98.16	$98.16
United Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $94.85 / $97.44	Professional		$83.49	$94.85	$97.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16