Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $77.89 / $93.80	Facility		$77.89	$77.89	$93.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $77.89 / $93.80	Professional		$64.58	$77.89	$93.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $183.74 / $229.67	Professional		$150.27	$183.74	$229.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $93.76 / $178.13	Facility		$71.50	$93.76	$178.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $186.95 / $636.69	Professional		$97.48	$186.95	$636.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $163.56 / $202.38	Facility		$122.76	$163.56	$202.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $170.10 / $231.32	Professional		$137.86	$170.10	$231.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $131.08 / $198.60	Professional		$98.23	$131.08	$198.60
United Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $181.48 / $217.77	Professional		$114.07	$181.48	$217.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $123.30 / $149.69	Professional		$101.80	$123.30	$149.69