Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $91.20	Professional		$57.54	$67.61	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $120.23	Professional		$81.28	$93.33	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $141.25	Facility		$54.95	$69.18	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $151.36 / $575.44	Professional		$66.07	$151.36	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $165.96	Professional		$93.33	$128.82	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
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 $60.26 / $95.50 / $165.96	Professional		$60.26	$95.50	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $56.23	Professional		$39.81	$51.29	$56.23