Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $88.50 / $88.50	Facility		$88.50	$88.50	$88.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $88.50 / $88.50	Professional		$79.54	$88.50	$88.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $165.67 / $204.14	Professional		$163.31	$165.67	$204.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.54 / $121.69 / $176.06	Facility		$79.54	$121.69	$176.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $84.95 / $503.43	Professional		$41.94	$84.95	$503.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $167.16 / $184.85	Facility		$49.88	$167.16	$184.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $143.50 / $206.57	Professional		$83.34	$143.50	$206.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $125.38 / $147.69	Professional		$58.93	$125.38	$147.69
United Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $111.46 / $154.46	Professional		$41.94	$111.46	$154.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $134.30 / $139.69	Professional		$114.20	$134.30	$139.69