Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $79.27 / $215.10	Professional		$70.45	$79.27	$215.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $146.56 / $183.20	Professional		$118.94	$146.56	$183.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $104.16 / $167.69	Facility		$67.95	$104.16	$167.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $136.72 / $232.92	Professional		$73.90	$136.72	$232.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.52 / $160.66 / $182.63	Facility		$139.52	$160.66	$182.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $145.34 / $160.66	Professional		$106.61	$145.34	$160.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $121.10 / $142.32	Professional		$84.77	$121.10	$142.32
United Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $136.72 / $161.07	Professional		$73.90	$136.72	$161.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $134.80 / $134.80	Professional		$103.70	$134.80	$134.80