Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.50 / $196.61 / $254.43	Facility		$91.50	$196.61	$254.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $71.55 / $142.55	Professional		$58.45	$71.55	$142.55
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $88.70 / $88.70 / $88.70	Professional	CQ	$88.70	$88.70	$88.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $93.39 / $107.69	Professional		$81.06	$93.39	$107.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $130.91 / $261.39	Facility		$71.55	$130.91	$261.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $103.87 / $196.25	Professional		$68.31	$103.87	$196.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.70 / $141.25 / $170.69	Facility		$109.70	$141.25	$170.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $125.45 / $201.19	Professional		$97.35	$125.45	$201.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $146.13 / $196.01	Professional		$103.79	$146.13	$196.01
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $80.37 / $167.23	Professional		$68.31	$80.37	$167.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $137.30 / $161.50	Professional		$126.20	$137.30	$161.50