Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $91.00 / $91.00	Facility		$91.00	$91.00	$91.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $86.74 / $91.00	Professional		$80.20	$86.74	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $170.29 / $212.86	Professional		$133.15	$170.29	$212.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $141.15 / $239.22	Facility		$70.98	$141.15	$239.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $153.99 / $533.04	Professional		$91.28	$153.99	$533.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $180.85 / $214.62	Facility		$139.12	$180.85	$214.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $177.56 / $214.62	Professional		$110.76	$177.56	$214.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $138.02 / $164.78	Professional		$99.60	$138.02	$164.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $151.09 / $191.69	Professional		$75.45	$151.09	$191.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $186.20 / $193.60	Professional		$158.19	$186.20	$193.60