Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $67.61	Facility		$58.88	$58.88	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $147.91	Professional		$51.29	$64.57	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $131.83 / $162.18	Professional		$54.95	$131.83	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $112.20	Facility		$52.48	$66.07	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $416.87	Professional		$51.29	$100.00	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $169.82	Professional		$123.03	$134.90	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $134.90	Professional		$123.03	$123.03	$134.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $134.90	Professional		$69.18	$87.10	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $141.25	Professional		$50.12	$67.61	$141.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $107.15	Professional		$77.62	$91.20	$107.15