Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $79.43 / $79.43	Facility		$72.44	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $141.25	Professional		$67.61	$79.43	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $194.98	Professional		$125.89	$158.49	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $199.53	Facility		$60.26	$104.71	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $295.12	Professional		$70.79	$128.82	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $181.97	Professional		$141.25	$162.18	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $162.18	Professional		$74.13	$147.91	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $141.25	Professional		$83.18	$120.23	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $181.97	Professional		$63.10	$123.03	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $151.36	Professional		$125.89	$125.89	$151.36