Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $85.11	Facility		$70.79	$74.13	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $173.78	Professional		$61.66	$79.43	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $194.98	Professional		$67.61	$128.82	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $154.88	Facility		$61.66	$100.00	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $549.54	Professional		$77.62	$144.54	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $173.78	Professional		$95.50	$144.54	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $190.55	Professional		$97.72	$117.49	$190.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $165.96	Professional		$87.10	$120.23	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $158.49	Professional		$69.18	$109.65	$158.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $151.36	Professional		$102.33	$125.89	$151.36