Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $77.05 / $94.15	Facility		$77.05	$77.05	$94.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $86.92 / $113.79	Professional		$65.56	$86.92	$113.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $163.86 / $225.07	Professional		$105.78	$163.86	$225.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $124.86 / $223.62	Facility		$68.09	$124.86	$223.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $157.99 / $513.00	Professional		$84.68	$157.99	$513.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $168.85 / $208.73	Facility		$129.19	$168.85	$208.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $163.98 / $212.24	Professional		$102.86	$163.98	$212.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $119.16 / $166.90	Professional		$82.47	$119.16	$166.90
United Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $156.66 / $184.32	Professional		$84.68	$156.66	$184.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $146.40 / $179.10	Professional		$120.90	$146.40	$179.10