Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $81.40 / $96.09	Facility		$71.81	$81.40	$96.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $95.58 / $135.13	Professional		$72.20	$95.58	$135.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $130.50 / $185.73	Professional		$76.00	$130.50	$185.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $97.59 / $162.38	Facility		$87.71	$97.59	$162.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $127.16 / $626.85	Professional		$76.73	$127.16	$626.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.65 / $164.56 / $248.91	Facility		$149.65	$164.56	$248.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $164.56 / $215.32	Professional		$132.44	$164.56	$215.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $123.14 / $197.30	Professional		$109.00	$123.14	$197.30
United Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $102.31 / $213.19	Professional		$76.73	$102.31	$213.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $141.19 / $155.50	Professional		$110.20	$141.19	$155.50