Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.64 / $64.64 / $64.64	Facility		$64.64	$64.64	$64.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $75.64 / $124.07	Professional		$53.68	$75.64	$124.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $161.91 / $202.39	Professional		$131.40	$161.91	$202.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $77.11 / $175.90	Facility		$40.22	$77.11	$175.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $144.11 / $248.84	Professional		$77.14	$144.11	$248.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.27 / $151.77 / $186.70	Facility		$119.27	$151.77	$186.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $150.27 / $169.78	Professional		$94.96	$150.27	$169.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $119.60 / $150.08	Professional		$80.89	$119.60	$150.08
United Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $142.91 / $168.13	Professional		$69.02	$142.91	$168.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $105.10 / $123.70	Professional		$96.60	$105.10	$123.70