Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $73.67 / $86.58	Facility		$73.67	$73.67	$86.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $75.40 / $86.58	Professional		$67.56	$75.40	$86.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $160.52 / $200.65	Professional		$113.27	$160.52	$200.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $114.18 / $216.13	Facility		$64.06	$114.18	$216.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $150.75 / $434.29	Professional		$82.60	$150.75	$434.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.97 / $161.97 / $194.68	Facility		$124.97	$161.97	$194.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $161.60 / $190.49	Professional		$117.05	$161.60	$190.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $115.18 / $151.37	Professional		$80.09	$115.18	$151.37
United Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $149.49 / $175.88	Professional		$81.94	$149.49	$175.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $132.80 / $162.40	Professional		$115.20	$132.80	$162.40