Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.17 / $58.17 / $58.52	Facility		$58.17	$58.17	$58.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $58.52 / $78.11	Professional		$49.09	$58.52	$78.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $76.93 / $116.96	Professional		$48.00	$76.93	$116.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $62.97 / $107.84	Facility		$52.11	$62.97	$107.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $372.52 / $404.95	Professional		$103.58	$372.52	$404.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.88 / $128.25 / $145.74	Facility		$115.88	$128.25	$145.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $122.15 / $138.01	Professional		$93.02	$122.15	$138.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $76.20 / $113.21	Professional		$67.15	$76.20	$113.21
United Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $129.07 / $152.33	Professional		$60.93	$129.07	$152.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $81.00 / $89.20	Professional		$62.70	$81.00	$89.20