Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $84.20 / $352.00	Facility		$57.32	$84.20	$352.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $89.41 / $532.79	Professional		$64.95	$89.41	$532.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $118.08 / $160.74	Professional		$91.43	$118.08	$160.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $95.25 / $167.41	Facility		$71.98	$95.25	$167.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $170.09 / $633.97	Professional		$98.95	$170.09	$633.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.86 / $192.95 / $235.52	Facility		$159.86	$192.95	$235.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $175.79 / $213.51	Professional		$159.86	$175.79	$213.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $122.39 / $177.62	Professional		$88.80	$122.39	$177.62
United Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $107.33 / $211.41	Professional		$97.37	$107.33	$211.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $149.80 / $192.40	Professional		$122.40	$149.80	$192.40