Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.43 / $67.36 / $89.23	Facility		$59.43	$67.36	$89.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $88.09 / $129.27	Professional		$64.76	$88.09	$129.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $170.46 / $219.81	Professional		$108.60	$170.46	$219.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $89.23 / $148.87	Facility		$77.27	$89.23	$148.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $163.01 / $561.11	Professional		$88.11	$163.01	$561.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $126.29 / $219.57	Facility		$104.52	$126.29	$219.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $126.29 / $174.59	Professional		$101.63	$126.29	$174.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $110.07 / $180.16	Professional		$95.13	$110.07	$180.16
United Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $93.72 / $190.18	Professional		$86.39	$93.72	$190.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $119.10 / $145.80	Professional		$91.70	$119.10	$145.80