Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $79.36 / $79.36	Facility		$79.36	$79.36	$79.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $73.55 / $79.36	Professional		$69.05	$73.55	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $152.84 / $191.05	Professional		$124.04	$152.84	$191.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $111.64 / $201.53	Facility		$59.81	$111.64	$201.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $132.66 / $227.09	Professional		$72.05	$132.66	$227.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $162.38 / $215.80	Facility		$109.21	$162.38	$215.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $146.66 / $186.69	Professional		$86.95	$146.66	$186.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $117.78 / $142.32	Professional		$85.27	$117.78	$142.32
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $131.55 / $180.13	Professional		$71.31	$131.55	$180.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $152.69	Professional		$124.80	$124.80	$152.69