Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $63.03	Facility		$49.72	$49.72	$63.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $51.18 / $63.03	Professional		$41.91	$51.18	$63.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $120.06 / $153.62	Professional		$94.91	$120.06	$153.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $61.39 / $109.33	Facility		$42.70	$61.39	$109.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $124.92 / $427.68	Professional		$65.25	$124.92	$427.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.15 / $106.50 / $135.78	Facility		$77.15	$106.50	$135.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $109.96 / $147.72	Professional		$88.62	$109.96	$147.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $87.43 / $130.47	Professional		$66.80	$87.43	$130.47
United Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $116.59 / $139.08	Professional		$76.48	$116.59	$139.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $77.50 / $99.40	Professional		$64.00	$77.50	$99.40