Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $86.81	Facility		$71.67	$71.67	$86.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $82.68 / $162.00	Professional		$67.40	$82.68	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $143.30 / $192.41	Professional		$82.51	$143.30	$192.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.33 / $125.11 / $155.88	Facility		$75.33	$125.11	$155.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $159.84 / $546.96	Professional		$94.17	$159.84	$546.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $145.87 / $175.53	Facility		$99.09	$145.87	$175.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $134.46 / $169.44	Professional		$95.55	$134.46	$169.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $129.68 / $165.61	Professional		$95.52	$129.68	$165.61
United Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $144.22 / $173.16	Professional		$77.61	$144.22	$173.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $125.60 / $152.40	Professional		$120.80	$125.60	$152.40