Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $79.56 / $183.00	Facility		$59.67	$79.56	$183.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $85.02 / $123.20	Professional		$65.50	$85.02	$123.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $116.74 / $164.45	Professional		$95.12	$116.74	$164.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $92.93 / $170.81	Facility		$74.94	$92.93	$170.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $175.59 / $590.30	Professional		$93.19	$175.59	$590.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.21 / $199.58 / $225.06	Facility		$172.21	$199.58	$225.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $187.36 / $208.97	Professional		$139.82	$187.36	$208.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $116.40 / $175.25	Professional		$93.12	$116.40	$175.25
United Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $99.74 / $204.86	Professional		$91.36	$99.74	$204.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $151.00 / $182.40	Professional		$128.40	$151.00	$182.40