Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $331.13	Facility		$173.78	$257.04	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $173.78	Professional		$63.10	$104.71	$173.78
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	CQ	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $109.65	Professional		$85.11	$107.15	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $165.96 / $263.03	Facility		$83.18	$165.96	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $213.80	Professional		$67.61	$120.23	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $151.36	Professional		$125.89	$141.25	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $177.83	Professional		$97.72	$97.72	$177.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $194.98	Professional		$107.15	$138.04	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $199.53	Professional		$67.61	$81.28	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $162.18	Professional		$125.89	$138.04	$162.18