Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $59.50 / $68.06	Facility		$59.50	$59.50	$68.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $64.11 / $91.34	Professional		$53.15	$64.11	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $131.07 / $161.31	Professional		$103.08	$131.07	$161.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $67.13 / $115.04	Facility		$55.69	$67.13	$115.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $120.73 / $417.96	Professional		$51.25	$120.73	$417.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.92 / $145.10 / $163.98	Facility		$123.92	$145.10	$163.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $134.35 / $153.91	Professional		$122.28	$134.35	$153.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $81.51 / $130.47	Professional		$69.16	$81.51	$130.47
United Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $65.23 / $140.85	Professional		$50.48	$65.23	$140.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $91.00 / $107.10	Professional		$76.90	$91.00	$107.10