Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $75.86 / $204.17	Facility		$54.95	$75.86	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $162.18	Professional		$70.79	$104.71	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $95.50	Professional		$75.86	$77.62	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $194.98	Facility		$83.18	$100.00	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $77.62	Professional		$60.26	$77.62	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $89.13	Professional		$70.79	$79.43	$89.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79