Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $181.97	Facility		$58.88	$77.62	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $173.78	Professional		$64.57	$85.11	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $169.82	Professional		$77.62	$112.20	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $190.55	Facility		$74.13	$97.72	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $588.84	Professional		$91.20	$165.96	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $229.09	Professional		$169.82	$186.21	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $181.97	Professional		$169.82	$169.82	$181.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $177.83	Professional		$95.50	$125.89	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $204.17	Professional		$85.11	$114.82	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $181.97	Professional		$128.82	$147.91	$181.97