Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $81.91	Facility		$42.14	$42.14	$81.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $59.40 / $90.48	Professional		$39.84	$59.40	$90.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $111.32 / $183.18	Professional		$74.20	$111.32	$183.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $72.81 / $128.49	Facility		$39.96	$72.81	$128.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $267.82 / $513.01	Professional		$118.78	$267.82	$513.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $152.66 / $197.64	Facility		$90.77	$152.66	$197.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $114.76 / $203.57	Professional		$87.31	$114.76	$203.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $95.09 / $136.18	Professional		$49.51	$95.09	$136.18
United Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $148.75 / $200.95	Professional		$80.38	$148.75	$200.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.20 / $147.10	Professional		$63.10	$77.20	$147.10