Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $82.09 / $82.09	Facility		$82.09	$82.09	$82.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $82.09 / $110.84	Professional		$63.21	$82.09	$110.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $109.50 / $142.68	Professional		$83.73	$109.50	$142.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.28 / $83.59 / $152.44	Facility		$67.28	$83.59	$152.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $212.42 / $524.21	Professional		$119.00	$212.42	$524.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $122.05 / $197.39	Facility		$110.99	$122.05	$197.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $116.07 / $154.85	Professional		$92.41	$116.07	$154.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.31	Professional		$1.31	$1.31	$1.31
United Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $179.09 / $179.09	Professional		$126.64	$179.09	$179.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $140.80 / $140.80	Professional		$140.80	$140.80	$140.80