Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Facility		$87.10	$87.10	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $117.49	Professional		$74.13	$89.13	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $165.96	Professional		$109.65	$138.04	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $173.78	Facility		$72.44	$95.50	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $549.54 / $602.56	Professional		$131.83	$549.54	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $245.47	Professional		$144.54	$177.83	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $131.83	Professional		$128.82	$128.82	$131.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $199.53	Professional		$102.33	$128.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $245.47	Professional		$89.13	$158.49	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $144.54	Professional		$97.72	$125.89	$144.54