Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $228.90 / $228.90	Facility		$75.56	$228.90	$228.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $101.06 / $182.75	Professional		$75.86	$101.06	$182.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $135.69 / $170.08	Professional		$77.00	$135.69	$170.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $107.26 / $170.27	Facility		$93.81	$107.26	$170.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $132.66 / $656.42	Professional		$87.18	$132.66	$656.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $150.19 / $260.10	Facility		$118.50	$150.19	$260.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $163.08 / $201.57	Professional		$119.27	$163.08	$201.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $130.68 / $205.71	Professional		$119.15	$130.68	$205.71
United Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $105.99 / $220.77	Professional		$79.48	$105.99	$220.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $147.19 / $162.10	Professional		$114.90	$147.19	$162.10