Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $64.42 / $457.20	Facility		$17.70	$64.42	$457.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $53.71 / $75.27	Professional		$17.70	$53.71	$75.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $58.98 / $175.06	Professional		$26.30	$58.98	$175.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $63.98 / $148.47	Facility		$20.43	$63.98	$148.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $115.39 / $410.48	Professional		$62.47	$115.39	$410.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $97.74 / $178.02	Facility		$28.15	$97.74	$178.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $88.88 / $127.38	Professional		$25.59	$88.88	$127.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $72.69 / $150.08	Professional		$25.56	$72.69	$150.08
United Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $122.02 / $142.36	Professional		$67.45	$122.02	$142.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $40.90 / $179.00	Professional		$33.40	$40.90	$179.00