Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.06 / $65.29 / $87.06	Facility		$57.06	$65.29	$87.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $84.79 / $478.82	Professional		$63.60	$84.79	$478.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $109.41 / $162.68	Professional		$91.00	$109.41	$162.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $87.06 / $147.13	Facility		$71.66	$87.06	$147.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $163.83 / $555.30	Professional		$87.15	$163.83	$555.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $172.20 / $208.61	Facility		$161.91	$172.20	$208.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $172.20 / $189.37	Professional		$161.91	$172.20	$189.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $108.55 / $165.61	Professional		$86.95	$108.55	$165.61
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $93.85 / $192.74	Professional		$75.00	$93.85	$192.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $143.40 / $170.40	Professional		$121.90	$143.40	$170.40