Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $107.15	Professional		$67.61	$81.28	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $128.82	Professional		$61.66	$104.71	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $83.18 / $169.82	Facility		$63.10	$83.18	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $524.81	Professional		$112.20	$177.83	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $199.53	Professional		$112.20	$154.88	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $194.98	Professional		$79.43	$131.83	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25