Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $81.28	Facility		$41.69	$41.69	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $104.71	Professional		$38.90	$70.79	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $186.21	Professional		$74.13	$112.20	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $69.18 / $117.49	Facility		$38.90	$69.18	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $269.15 / $512.86	Professional		$97.72	$269.15	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $199.53	Professional		$87.10	$104.71	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $162.18	Professional		$91.20	$91.20	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $147.91	Professional		$48.98	$93.33	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $177.83	Professional		$58.88	$102.33	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $147.91	Professional		$63.10	$77.62	$147.91