Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $65.94 / $77.58	Facility		$58.18	$65.94	$77.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $131.75 / $196.69	Professional		$64.28	$131.75	$196.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $116.34 / $180.88	Professional		$67.06	$116.34	$180.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.13 / $122.68 / $213.61	Facility		$92.13	$122.68	$213.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $124.92 / $526.09	Professional		$66.33	$124.92	$526.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.09 / $142.09 / $142.09	Facility		$142.09	$142.09	$142.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $107.00 / $133.31	Professional		$77.54	$107.00	$133.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $119.15 / $135.85	Professional		$89.35	$119.15	$135.85
United Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $140.47 / $154.91	Professional		$81.15	$140.47	$154.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $99.40 / $102.40	Professional		$99.40	$99.40	$102.40