Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $67.77 / $85.93	Facility		$28.96	$67.77	$85.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $68.11 / $85.93	Professional		$26.71	$68.11	$85.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $64.56 / $190.02	Professional		$38.92	$64.56	$190.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $78.01 / $163.13	Facility		$30.14	$78.01	$163.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $145.87 / $466.88	Professional		$71.77	$145.87	$466.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $111.05 / $194.28	Facility		$40.43	$111.05	$194.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $100.98 / $146.58	Professional		$36.77	$100.98	$146.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $78.91 / $163.02	Professional		$37.14	$78.91	$163.02
United Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $129.80 / $162.54	Professional		$66.58	$129.80	$162.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $59.40 / $194.40	Professional		$48.50	$59.40	$194.40