Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $75.86	Facility		$50.12	$57.54	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $104.71	Professional		$54.95	$72.44	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $154.88	Professional		$66.07	$91.20	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $125.89	Facility		$61.66	$77.62	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $489.78	Professional		$75.86	$131.83	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $190.55	Professional		$154.88	$165.96	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Professional		$154.88	$154.88	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $144.54	Professional		$77.62	$97.72	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $177.83	Professional		$72.44	$102.33	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $151.36	Professional		$107.15	$123.03	$151.36