Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $63.84 / $75.11	Facility		$56.33	$63.84	$75.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $72.19 / $90.66	Professional		$55.52	$72.19	$90.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $154.37 / $181.00	Professional		$144.80	$154.37	$181.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.80 / $100.17 / $166.32	Facility		$86.80	$100.17	$166.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $94.89 / $152.36	Professional		$63.50	$94.89	$152.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $114.53 / $161.00	Facility		$110.03	$114.53	$161.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $117.90 / $179.75	Professional		$76.89	$117.90	$179.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $117.20 / $157.19	Professional		$72.67	$117.20	$157.19
United Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $121.34 / $161.78	Professional		$63.50	$121.34	$161.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $118.50 / $118.50	Professional		$118.50	$118.50	$118.50